JINAL SHETH MD
NPI 1679000723
Internal Medicine - Critical Care Medicine in Alexandria, VA

Active since May 20, 2017PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
4320 SEMINARY RD, ALEXANDRIA, VA 22304(703) 504-3000 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2022, Dec 7, 2020, May 20, 2017 (3 updates tracked since 2017).

About Jinal Sheth Md NPPES

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

JINAL SHETH MD (NPI 1679000723) is an individual critical care medicine provider in Alexandria, Virginia, licensed in Virginia (0101274221) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1679000723
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameJINAL SHETHCredential: MD
Location Address4320 SEMINARY RDAlexandria, VA 22304-1535
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 20, 2017
Last NPPES UpdateOctober 12, 20223 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1679000723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in VA · 0101274221
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 0101274221 (VA), MD048025 (DC)
4320 SEMINARY RD, Alexandria, VA 22304

Secondary Practice Locations 3

Location 1201 Lyons AveNewark, NJ 07112-2027 · Phone (973) 926-6671
Location 2110 Irving St NWWashington, DC 20010-3017 · Phone (201) 877-7000
Location 33300 Gallows RdFalls Church, VA 22042-3307 · Phone (706) 776-4001

Accepted 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

Jinal Sheth Md 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 ID6204215668
PECOS Enrollment IDI20220615002775, I20221026001761
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

3

Medicare enrollment records show Jinal Sheth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
400 FANNON ST
Alexandria, VA 22301
  • Reassigned Medicare billing, District of Columbia enrollment
  • 135 clinicians in this Medicare group
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
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)
  • 167 clinicians in this Medicare group

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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
226 services126 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.
54 services53 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

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 22304 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.

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 20

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

Internal Medicine (Critical Care Medicine)
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Radiology (Diagnostic Radiology)
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Pediatrics (Neonatal-Perinatal Medicine)
4320 SEMINARY RD, SUITE 3000
ALEXANDRIA, VA 22304
Nurse Anesthetist, Certified Registered
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Physical Therapist
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Internal Medicine (Critical Care Medicine)
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Nurse Practitioner
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Internal Medicine (Critical Care Medicine)
4320 SEMINARY RD
ALEXANDRIA, VA 22304

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 Jinal Sheth's NPI number?

The NPI number for Jinal Sheth is 1679000723. It was assigned to this individual provider in the NPPES registry on May 20, 2017.

Where is Jinal Sheth located?

Jinal Sheth practices at 4320 Seminary Rd, Alexandria, VA 22304. The listed phone number is (703) 504-3000.

What is Jinal Sheth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Jinal Sheth enrolled in Medicare?

Yes. Jinal Sheth 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 Jinal Sheth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jinal Sheth reassigns Medicare benefits to 3 organizations: Alexandria Springfield Emergency Physicians PC (Alexandria, VA), Privia Medical Group, LLC (Arlington, VA) and Inova Health Care Services (Falls Church, 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 Jinal Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jinal Sheth accept?

Health plans from Oscar Health list Jinal Sheth 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 Jinal Sheth affiliated with any hospitals?

According to CMS data, Jinal Sheth is affiliated with Inova Alexandria Hospital, Virginia Hospital Center and Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Jinal Sheth was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.