DIANA SHUSTAROVICH MD
NPI 1124558408
Obstetrics & Gynecology in Reston, VA

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
1850 TOWN CENTER PKWY STE 650, RESTON, VA 20190(703) 955-5978 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2022, Jan 13, 2022, Jun 19, 2017 (3 updates tracked since 2017).

About Diana Shustarovich Md NPPES

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

DIANA SHUSTAROVICH MD (NPI 1124558408) is an individual obstetrics & gynecology provider in Reston, Virginia, licensed in Virginia (0101274112) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2017).

NPPES Registry Identity

NPI1124558408
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDIANA SHUSTAROVICHCredential: MD
Location Address1850 TOWN CENTER PKWY STE 650Reston, VA 20190-3300
Mailing Address3401 Sherman Ave Nw Unit AWashington, DC 20010-3600 · (347) 247-8337
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateFebruary 8, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1124558408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in VA · 0101274112✔ Licensed in MD · D0092078
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1850 TOWN CENTER PKWY STE 650, Reston, VA 20190

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Diana Shustarovich 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 ID2860763711
PECOS Enrollment IDI20221110000006
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Diana Shustarovich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2740 PROSPERITY AVE STE 200
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 234 clinicians in this Medicare group
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Women's Health)
1850 TOWN CENTER PKWY STE 650
RESTON, VA 20190

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 Diana Shustarovich's NPI number?

The NPI number for Diana Shustarovich is 1124558408. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Diana Shustarovich located?

Diana Shustarovich practices at 1850 Town Center Pkwy Ste 650, Reston, VA 20190. The listed phone number is (703) 955-5978.

What is Diana Shustarovich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Diana Shustarovich enrolled in Medicare?

Yes. Diana Shustarovich 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.

Which organizations bill Medicare for Diana Shustarovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Shustarovich reassigns Medicare benefits to 3 organizations: Inova Health Care Services (Fairfax, VA), Professional Services Of Holy Cross (Rockville, MD) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diana Shustarovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Shustarovich accept?

Health plans from Oscar Health list Diana Shustarovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diana Shustarovich was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.