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DR. SIMA SHUKLA M.D.
NPI 1245330182
Internal Medicine in Reston, VA

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
38.8/100
CMS Quality Rating
1860 TOWN CENTER DRIVE, SUITE # 210, RESTON, VA 20190(703) 481-6999(703) 437-1101 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sima Shukla M.d. NPPES

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

DR. SIMA SHUKLA M.D. (NPI 1245330182) is an individual internal medicine provider in Reston, Virginia, licensed in Virginia (0101227766) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1245330182
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SIMA SHUKLACredential: M.D.
Location Address1860 TOWN CENTER DRIVE, SUITE # 210Reston, VA 20190
Mailing Address1860 Town Center Drive, Suite # 210Reston, VA 20190 · (703) 481-6999 · Fax (703) 437-1101
Phone(703) 481-6999
Fax(703) 437-1101
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 10, 2013
✔ NPI 1245330182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101227766
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1860 TOWN CENTER DRIVE, Reston, VA 20190
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Other Identifiers 3

Medicaid5806844VA
Medicare UPINH43722VA
Medicare ID-Type Unspecified490922VA

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

Dr. Sima Shukla M.d. 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 ID8022059005
PECOS Enrollment IDI20110603000571
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 3

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
176 services20 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.
32 services17 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
21 services12 patients

Hospital Affiliations CMS Care Compare

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

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
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

38.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality41.75
Improvement Activities0
Cost73.68

Reported Quality Measures

Documentation of Current Medications in the Medical Record
95%110 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%44 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%40 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
48%23 patients4/55-star benchmark: 61%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$21.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

LINDA H MOSELY MD PC
Surgery (Surgery of the Hand)
1860 TOWN CENTER DRIVE
RESTON, VA 20190
Fairfax County (703) 481-1811
UNITED PRIMARY CARE, LLC
Internal Medicine
1860 TOWN CENTER DRIVE, SUITE 320
RESTON, VA 20190
Fairfax County (607) 624-6496
CAITLIN NOELLE FORTUNE PA
Physician Assistant (Medical)
1860 TOWN CENTER DRIVE
RESTON, VA 20190
Fairfax County (703) 689-2050
MR. AHMAD OSMAN NOORI M.D.
Internal Medicine (Nephrology)
1860 TOWN CENTER DRIVE, SUITE 280
RESTON, VA 20190
Fairfax County (703) 742-8500
QUALITY INTERNAL MEDICINE, PLLC
Internal Medicine
1860 TOWN CENTER DRIVE, SUITE 255
RESTON, VA 20190
Fairfax County (703) 707-0607
ADVANCED BRAIN CENTERS OF VA
Emergency Medicine (Undersea and Hyperbaric Medicine)
1860 TOWN CENTER DRIVE, SUITE G220
RESTON, VA 20190
Fairfax County (571) 201-8238
DR. EBONI NICOLE CORNISH M.D.
General Acute Care Hospital
1860 TOWN CENTER DRIVE, 260
RESTON, VA 20190
Fairfax County (703) 709-1119

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 Sima Shukla's NPI number?

The NPI number for Sima Shukla is 1245330182. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Sima Shukla located?

Sima Shukla practices at 1860 Town Center Drive Suite # 210, Reston, VA 20190. The listed phone number is (703) 481-6999.

What is Sima Shukla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sima Shukla enrolled in Medicare?

Yes. Sima Shukla 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 Sima Shukla affiliated with any hospitals?

According to CMS data, Sima Shukla is affiliated with Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Sima Shukla was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.