SATISH SHASHIDHARA DO
NPI 1750777934
Psychiatry & Neurology - Child & Adolescent Psychiatry in Falls Church, VA

Active since April 14, 2015PECOS Enrolled
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001(703) 776-7113 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2019, Jun 18, 2019 (2 updates tracked since 2019).

About Satish Shashidhara Do NPPES

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

SATISH SHASHIDHARA DO (NPI 1750777934) is an individual child & adolescent psychiatry provider in Falls Church, Virginia, licensed in Virginia (0102206725) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1750777934
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameSATISH SHASHIDHARACredential: DO
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Fax(703) 776-7113
Sole ProprietorNo
Enumeration DateApril 14, 2015
Last NPPES UpdateAugust 30, 20212 updates tracked since enumeration
NPPES CertifiedAugust 30, 2021
NPI 1750777934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in VA · 0102206725
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License DR.0061916 (CO)
3300 GALLOWS RD, Falls Church, VA 22042

Secondary Practice Locations 6

Location 18701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 955-8990 · Fax (414) 955-6299
Location 213001 E 17th PlAurora, CO 80045-2570 · Phone (720) 777-4524 · Fax (720) 777-7309
Location 32501 Parkers LnAlexandria, VA 22306-3209 · Phone (703) 664-7000 · Fax (703) 664-7666
Location 44320 Seminary RdAlexandria, VA 22304-1535 · Phone (703) 504-3000 · Fax (703) 504-3388
Location 53600 Joseph Siewick DrFairfax, VA 22033-1709 · Phone (703) 391-3600 · Fax (703) 391-3414
Location 644045 Riverside PkwyLeesburg, VA 20176-5101 · Phone (703) 858-6000 · Fax (703) 858-6900

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Satish Shashidhara Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042

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 Satish Shashidhara's NPI number?

The NPI number for Satish Shashidhara is 1750777934. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Satish Shashidhara located?

Satish Shashidhara practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-4001.

What is Satish Shashidhara's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Satish Shashidhara enrolled in Medicare?

Yes. Satish Shashidhara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Satish Shashidhara was last updated on August 30, 2021. 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.