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DR. SUSHMA SANJAY HIRANI M.D.
NPI 1336119189
Family Medicine - Adult Medicine in Oakton, VA

Active since January 24, 2006Opted out of Medicare · through Feb 28, 2027
2944 HUNTER MILL RD, SUITE 101, OAKTON, VA 22124(571) 529-6699(571) 210-4099 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sushma Sanjay Hirani M.d. NPPES

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

DR. SUSHMA SANJAY HIRANI M.D. (NPI 1336119189) is an individual adult medicine provider in Oakton, Virginia, licensed in Virginia (0101240095) and active in the NPI registry since January 2006. She has opted out of Medicare through February 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336119189
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. SUSHMA SANJAY HIRANICredential: M.D.
Location Address2944 HUNTER MILL RD, SUITE 101Oakton, VA 22124-1761
Mailing Address2944 Hunter Mill Rd, Suite 101Oakton, VA 22124-1761 · (571) 529-6699 · Fax (571) 210-4099
Phone(571) 529-6699
Fax(571) 210-4099
Sole ProprietorYes
Enumeration DateJanuary 24, 2006
Last NPPES UpdateFebruary 6, 2017
✔ NPI 1336119189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in VA · 0101240095
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2944 HUNTER MILL RD, Oakton, VA 22124
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sushma Sanjay Hirani M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2017 through February 28, 2027.

Opt-Out Effective DateFebruary 28, 2017
Opt-Out In Effect ThroughFebruary 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22124 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

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

DR. JENNIFER LUPIANEZ SIMS D.C.
Chiropractor
2944 HUNTER MILL RD, SUITE 104
OAKTON, VA 22124
Fairfax County (703) 975-9144
BLUE SKY HEALTH AND WELLNESS
Chiropractor
2944 HUNTER MILL RD, SUITE 104
OAKTON, VA 22124
Fairfax County (703) 975-9144

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 Sushma Hirani's NPI number?

The NPI number for Sushma Hirani is 1336119189. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Sushma Hirani located?

Sushma Hirani practices at 2944 Hunter Mill Rd Suite 101, Oakton, VA 22124. The listed phone number is (571) 529-6699.

What is Sushma Hirani's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Sushma Hirani enrolled in Medicare?

No. Sushma Hirani has opted out of Medicare through February 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sushma Hirani was last updated on February 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.