DR. SANGEETHA SHAN-BALA M.D.
NPI 1356471676
Internal Medicine - Geriatric Medicine in Falls Church, VA

Q: What is Sangeetha Shan-bala's NPI number?

The NPI number for Sangeetha Shan-bala is 1356471676. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Sangeetha Shan-bala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment

81.28/100

CMS Quality Rating

3300 GALLOWS RD DEPT OF, FALLS CHURCH, VA 22042(703) 776-3582 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Sangeetha Shan-bala M.d. NPPES

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

DR. SANGEETHA SHAN-BALA M.D. (NPI 1356471676) is an individual geriatric medicine provider in Falls Church, Virginia, licensed in Virginia (0101241278) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1356471676

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameDR. SANGEETHA SHAN-BALACredential: M.D.

Location Address3300 GALLOWS RD DEPT OFFalls Church, VA 22042

Mailing Address3300 Gallows Rd Dept OfFalls Church, VA 22042-3307 · (703) 776-3582

Phone(703) 776-3582

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateMarch 6, 2007

Last NPPES UpdateMay 16, 2018

✔ NPI 1356471676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Licenses✔ Licensed in VA · 0101241278✔ Licensed in VA · 010124278

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0101241278 (VA)

3300 GALLOWS RD DEPT OF, Falls Church, VA 22042

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Other Identifiers 4

Other5374-0021Bcbs Of Dc

Other04-53885Evercare

Other541908787001Tricare

Other1356471676Anthem Bcbs

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. Sangeetha Shan-bala 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 ID941307904

PECOS Enrollment IDI20080808000211

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 7

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

316 services300 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

241 services196 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

168 services107 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

136 services94 patients

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.

60 services27 patients

Advance care planning, each additional 30 minutes 99498

Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.

33 services30 patients

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

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.

81.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.77

Promoting Interoperability

100

Improvement Activities

Cost

66.84

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Other Providers at the Same Location NPPES 18

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

CHIN HEE KIM MD

Hospitalist