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SHABNAM SHUKRULLAH PHYSICIAN ASSISTANT
NPI 1346081718
Physician Assistant in Reston, VA

Active since June 01, 2024PECOS EnrolledAccepts Medicare Assignment
1800 JONATHAN WAY, RESTON, VA 20190(571) 888-9339 Get Directions Write a Review

NPPES record last updated: June 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shabnam Shukrullah Physician Assistant NPPES

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

SHABNAM SHUKRULLAH PHYSICIAN ASSISTANT (NPI 1346081718) is an individual physician assistant in Reston, Virginia and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1346081718
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHABNAM SHUKRULLAHCredential: PHYSICIAN ASSISTANT
Location Address1800 JONATHAN WAYReston, VA 20190-3592
Mailing Address1800 Jonathan WayReston, VA 20190-3592 · (571) 888-9339
Phone(571) 888-9339
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 1, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1346081718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1800 JONATHAN WAY, Reston, VA 20190
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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

Shabnam Shukrullah Physician Assistant 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 ID4789123241
PECOS Enrollment IDI20240926002524
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.

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
$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
$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.

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 Shabnam Shukrullah's NPI number?

The NPI number for Shabnam Shukrullah is 1346081718. It was assigned to this individual provider in the NPPES registry on June 1, 2024.

Where is Shabnam Shukrullah located?

Shabnam Shukrullah practices at 1800 Jonathan Way, Reston, VA 20190. The listed phone number is (571) 888-9339.

What is Shabnam Shukrullah's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shabnam Shukrullah enrolled in Medicare?

Yes. Shabnam Shukrullah 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.

When was this NPI record last updated?

The NPPES record for Shabnam Shukrullah was last updated on June 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.