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

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: October 18, 2026.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sangeetha Shan-bala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services
Same address
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1588717755 (Virginia)
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627
Alinkz Inc
7.3 mi
Geriatric Medicine
1142 BELLVIEW RD
Mc Lean, VA 22102
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1063297307 (703) 568-7910

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

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
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

Other Providers at the Same Location NPPES 17

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

CHIN HEE KIM MD
Hospitalist
3300 GALLOWS RD DEPT OF
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3582
VASILIOS DIMITRIOS MAVROPHILIPOS
Emergency Medicine
3300 GALLOWS RD DEPT OF
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
DR. SAQUIB NISAR CHAUDHRI M.D.
Internal Medicine
3300 GALLOWS RD DEPT OF
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3582
KEVIN LAM MD
Student in an Organized Health Care Education/Training Program
3300 GALLOWS RD DEPT OF
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3582
SHIRLEY K KALWANEY MD
Internal Medicine
3300 GALLOWS RD DEPT OF
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3582
ZEHRA PARVEEN GAUDIANO M.D.
Hospitalist
3300 GALLOWS RD DEPT OF
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3582
KATHRYN MARY BUSH MD
Surgery
3300 GALLOWS RD DEPT OF
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
DR. KARA MEGLASSON BRODY DNAP, RN
Registered Nurse (Critical Care Medicine)
3300 GALLOWS RD DEPT OF
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3138

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 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.

Where is Sangeetha Shan-bala located?

Sangeetha Shan-bala practices at 3300 Gallows Rd Dept Of, Falls Church, VA 22042. The listed phone number is (703) 776-3582.

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.

Is Sangeetha Shan-bala enrolled in Medicare?

Yes. Sangeetha Shan-bala 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 Sangeetha Shan-bala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sangeetha Shan-bala reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Alinkz Inc (Mc Lean, 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 Sangeetha Shan-bala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sangeetha Shan-bala accept?

Health plans from Oscar Health list Sangeetha Shan-bala 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.

Is Sangeetha Shan-bala affiliated with any hospitals?

According to CMS data, Sangeetha Shan-bala is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Sangeetha Shan-bala was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.