Individual provider Active NPI

Nathan R Shapiro, M.D

  • Internal Medicine Physician
  • Manassas, VA
National Provider Identifier
1992703045
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101244821 Issued in VA
Practice address
8525 Rolling Rd
Suite 222
Manassas, VA 20110-3647
Phone
(703) 334-0720
Fax
(703) 334-0750
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 148475 NY
Internal Medicine Physician 207R00000X 0101244821 VA Primary

Addresses

Primary practice location

8525 Rolling Rd
Suite 222
Manassas, VA 20110-3647

Mailing address

8525 Rolling Rd
Suite 222
Manassas, VA 20110-3647
Phone (703) 334-0720

Other identifiers 3

IdentifierTypeStateIssuer
112492182OtherNYPROVIDER ID#
KP545OtherNYOXFORD
0084086OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140207001310 DC Practitioner - Internal Medicine 4688703820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanjeev Kohli, MD PCGroup PAC ID 4587824644, 3 clinicians

Practice addresses (Care Compare)

4660 Kenmore Ave
Suite 900
Alexandria, VA 22304-1383
Phone (703) 820-7000

Hospital & facility affiliations

  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
148475NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjeev Kohli, MD PC Internal Medicine CurrentSince Jul 9, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4660 Kenmore Ave
Ste 900
Alexandria, VA 22304
Phone (703) 212-0700

4216 King St
Alexandria, VA 22302
Phone (703) 820-7000

Interoperability endpoints

  • Direct secure messaging: nathan.shapiro@bm.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1992703045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 ROLLING RD",
            "address_2": "SUITE 222",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103647",
            "telephone_number": "703-334-0720",
            "fax_number": "703-334-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 ROLLING RD",
            "address_2": "SUITE 222",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103647",
            "telephone_number": "703-334-0720",
            "fax_number": "703-334-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "NATHAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "148475",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101244821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID#",
            "identifier": "112492182",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KP545",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0084086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.