SHAVETA KOTWAL (NPI# 1841492733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841492733 |
| Entity Type | Individual |
| Full Name | SHAVETA KOTWAL |
| Credential | MD |
| Practice Address |
21170 Ashby Ponds Blvd. Ashburn VA 20147 |
| Mailing Address |
813 Maiden Choice Ln Catonsville MD 21228-3679 |
| Practice Telephone | 5712916131 |
| Practice Fax Number | 5712916135 |
| Mailing Telephone | 5712916131 |
| Mailing Fax Number | 5712916135 |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2015-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101244163 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
0101244163 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EVERCARE | 04-60195 | 01 | |
| CAREFIRST BCBS | 5374-0022 | 01 | |
| TRICARE | 541908787004 | 01 | |
| ANTHEM BCBS | 1841492733 | 01 |
| Street Address |
21170 ASHBY PONDS BLVD. |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205250172 | Leesburg Internal Medicine and And Primary Care LLC | Internal Medicine | 20093 Whistling Straits Pl, Ashburn, VA 20147-3196 | 2014-02-12 |
| 1346750320 | Virginia Geriatrics, PC | Internal Medicine | 41816 Fenway Cir, Ashburn, VA 20148-8069 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477068328 | Integrity Healthcare Corporation | Internal Medicine | 243 Mclaws Cir Ste 101, Williamsburg, VA 23185-5673 | 2017-12-13 |
| 1265899124 | Brennan Geriatric Medicine PC | Internal Medicine | 5717 Park Creste Dr, Glen Allen, VA 23059-2604 | 2016-01-24 |
| 1932526233 | Nova Health Care Management | Internal Medicine | 8181 Pasture Rose Ct, Lorton, VA 22079-2957 | 2014-03-25 |
| 1487090833 | Elise Antoinette Sideris | Internal Medicine | 1201 Broad Rock Blvd # 181, Richmond, VA 23224-4915 | 2013-05-13 |
| 1508125386 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 | 2012-05-14 |
| 1043512205 | James Thompson Medical, Pllc | Internal Medicine | 507 N 28th St, Richmond, VA 23223-7303 | 2010-11-21 |
| 1417257585 | Richmond Internists Pllc | Internal Medicine | 4311 Otterburn Rd, Moseley, VA 23120-1262 | 2010-10-23 |
| 1144464678 | Katherine L Coffey-vega | Internal Medicine | 490 Hillsdale Dr, Charlottesville, VA 22901-5731 | 2009-04-28 |
| 1518122126 | James T Saunders Md PC | Internal Medicine | 1500 Still Harbor Ln, Virginia Beach, VA 23464-7218 | 2008-07-23 |
| 1831301704 | Mary Elizabeth Simmers | Internal Medicine | 701 Gordon Ave, Richmond, VA 23224-7019 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.