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SHAILI PARAJULI M.D.
NPI 1760760854
Internal Medicine in Reston, VA

Active since July 25, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1850 TOWN CENTER PARKWARY, RESTON, VA 20190(240) 686-2300 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Dec 7, 2017 (2 updates tracked since 2017).

About Shaili Parajuli M.d. NPPES

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

SHAILI PARAJULI M.D. (NPI 1760760854) is an individual internal medicine provider in Reston, Virginia, licensed in Virginia (0101263430) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and maintains a secondary practice location in Cheverly.

NPPES Registry Identity

NPI1760760854
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHAILI PARAJULICredential: M.D.
Location Address1850 TOWN CENTER PARKWARYReston, VA 20190-6705
Mailing Address20010 Century Blvd Ste 200Germantown, MD 20874-1118 · (240) 686-2300
Phone(240) 686-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 25, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1760760854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101263430
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1850 TOWN CENTER PARKWARY, Reston, VA 20190
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Secondary Practice Location 1

Location 13001 Hospital DrCheverly, MD 20785-1189 · Phone (301) 618-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Shaili Parajuli 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 ID1850511932
PECOS Enrollment IDI20171227000416
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 Reassignment

Medicare enrollment records show Shaili Parajuli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine Associates P.A., P.C.
Same address
Emergency Medicine
1850 TOWN CENTER PKWY
Reston, VA 20190
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1376917070 (Virginia)
  • 1,150 clinicians in this Medicare group
NPI 1932064268 (330) 493-4443

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 6

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.

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.
859 services294 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
212 services207 patients
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.
148 services141 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.
88 services43 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.
19 services16 patients
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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Shaili Parajuli's NPI number?

The NPI number for Shaili Parajuli is 1760760854. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Shaili Parajuli located?

Shaili Parajuli practices at 1850 Town Center Parkwary, Reston, VA 20190. The listed phone number is (240) 686-2300.

What is Shaili Parajuli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shaili Parajuli enrolled in Medicare?

Yes. Shaili Parajuli 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 organization bills Medicare for Shaili Parajuli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaili Parajuli reassigns Medicare benefits to Emergency Medicine Associates P.A., P.C. (Reston, VA). The 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 Shaili Parajuli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaili Parajuli accept?

Health plans from Cigna Healthcare list Shaili Parajuli 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 Shaili Parajuli affiliated with any hospitals?

According to CMS data, Shaili Parajuli is affiliated with Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Shaili Parajuli was last updated on March 17, 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.