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PRADNYA P SHIRSOLKAR MD
NPI 1093949422
Family Medicine in South Riding, VA

Active since May 13, 2009PECOS EnrolledAccepts Medicare Assignment
25055 RIDING PLZ, SUITE 220, SOUTH RIDING, VA 20152(703) 722-5840(703) 722-5821 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pradnya P Shirsolkar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRADNYA P SHIRSOLKAR MD (NPI 1093949422) is an individual family medicine provider in South Riding, Virginia, licensed in Virginia (0101251222) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Stonesprings Hospital Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1093949422
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRADNYA P SHIRSOLKARCredential: MD
Location Address25055 RIDING PLZ, SUITE 220South Riding, VA 20152-5917
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (703) 368-3161
Phone(703) 722-5840
Fax(703) 722-5821
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 13, 2009
Last NPPES UpdateMay 13, 2015
✔ NPI 1093949422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101251222
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25055 RIDING PLZ, South Riding, VA 20152
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Other Identifiers 2

Medicaid1093949422VA
Medicare PINVV9957BVA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pradnya P Shirsolkar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143474213
PECOS Enrollment IDI20130620000593
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
244 services16 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
148 services18 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
121 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services37 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
32 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Stonesprings Hospital Center

Acute Care Hospitals · Dulles, VA
OwnershipProprietary
CMS Certification Number490145
Location24440 Stone Springs BoulevardDulles, VA 20166 · Loudoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
85%48 patients4/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
10%67 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
45%67 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
47%72 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
29%41 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEHA KAPOOR O.D.
Optometrist
25055 RIDING PLZ, SUITE 100
CHANTILLY, VA 20152
Loudoun County (703) 957-3384
ULTIMATE RESULTS AT SOUTH RIDING
Health Educator
25055 RIDING PLZ, SUITE 130
CHANTILLY, VA 20152
Loudoun County (703) 220-6917
TRANG T. VO-NGUYEN MD
Otolaryngology (Facial Plastic Surgery)
25055 RIDING PLZ, SUITE 140
CHANTILLY, VA 20152
Loudoun County (703) 327-8200
RIDING PLAZA DENTAL CARE, PLLC
Clinic/Center (Dental)
25055 RIDING PLZ, SUITE 210
SOUTH RIDING, VA 20152
Loudoun County (703) 327-9935
SHAWN KAPOOR D.O.
Pediatrics
25055 RIDING PLZ, SUITE 150
SOUTH RIDING, VA 20152
Loudoun County (703) 327-0075
DERMATOLOGY ASSOCIATES OF NORTHERN VIRGINIA
Preferred Provider Organization
25055 RIDING PLZ, SUITE 230
CHANTILLY, VA 20152
Loudoun County (703) 222-2773
DENTAL ONE ASSOCIATES SOUTH RIDING PC
Dentist
25055 RIDING PLZ, 270
CHANTILLY, VA 20152
Loudoun County (703) 491-4489
DR. DAVID S GOODWIN M.D.
Orthopaedic Surgery
25055 RIDING PLZ, STE 260
CHANTILLY, VA 20152
Loudoun County (703) 272-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pradnya Shirsolkar's NPI number?

The NPI number for Pradnya Shirsolkar is 1093949422. It was assigned to this individual provider in the NPPES registry on May 13, 2009.

Where is Pradnya Shirsolkar located?

Pradnya Shirsolkar practices at 25055 Riding Plz Suite 220, South Riding, VA 20152. The listed phone number is (703) 722-5840.

What is Pradnya Shirsolkar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pradnya Shirsolkar enrolled in Medicare?

Yes. Pradnya Shirsolkar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Pradnya Shirsolkar affiliated with any hospitals?

According to CMS data, Pradnya Shirsolkar is affiliated with Stonesprings Hospital Center.

When was this NPI record last updated?

The NPPES record for Pradnya Shirsolkar was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.