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DR. SHANTI PRASAD M.D.
NPI 1982646113
Internal Medicine in Arlington, VA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
77.36/100
CMS Quality Rating
2001 COLUMBIA PIKE, SUITE 131, ARLINGTON, VA 22204(703) 979-1777(703) 979-8258 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Shanti Prasad M.d. NPPES

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

DR. SHANTI PRASAD M.D. (NPI 1982646113) is an individual internal medicine provider in Arlington, Virginia, licensed in Virginia (0101227771) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1982646113
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHANTI PRASADCredential: M.D.
Location Address2001 COLUMBIA PIKE, SUITE 131Arlington, VA 22204-4547
Mailing Address2001 Columbia Pike, Suite 131Arlington, VA 22204-4547 · (703) 979-1777 · Fax (703) 979-8258
Phone(703) 979-1777
Fax(703) 979-8258
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 12, 2006
Last NPPES UpdateDecember 17, 2012
✔ NPI 1982646113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101227771
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.
Also ListedSpecialistTaxonomy 174400000X · License 0101227771 (VA)
2001 COLUMBIA PIKE, Arlington, VA 22204
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Other Identifiers 4

Medicaid5860105VA
Medicare UPING93326VA
Medicare PIN005836M42
Medicare PIN022313ZCAL

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. Shanti Prasad 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 ID3072609825
PECOS Enrollment IDI20071010000227, I20171005001718
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

5

Medicare enrollment records show Shanti Prasad reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virginia Hospital Center Physician Group, LLC
1.6 mi
Internal Medicine
2800 S SHIRLINGTON RD, SUITE 500
Arlington, VA 22206
  • Reassigned Medicare billing, District of Columbia enrollment
  • 436 clinicians in this Medicare group
NPI 1295176725 (703) 717-4245
Inova Health Care Services
7.9 mi
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
Progressive Medical Associates, LLC.
8.7 mi
Internal Medicine
2812 OLD LEE HWY STE 210B
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1750925541 (703) 876-6131
Hospitalist Medicine Physicians Of Fredericksburg, LLC
44 mi
Internal Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 258 clinicians in this Medicare group
NPI 1447577572 (330) 493-4443
Hospitalist Medicine Physicians Of Virginia LLC
64 mi
Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 371 clinicians in this Medicare group
NPI 1770756991 (540) 536-4334

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 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.
851 services403 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.
146 services141 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services40 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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 22204 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.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.82
Promoting Interoperability87
Improvement Activities40
Cost54.56

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
82%141 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
68%38 patients3/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
79%38 patients4/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
95%38 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
73%591 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%634 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
93%102 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%24 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%20 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%200 patients5/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
89%102 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
93%307 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
39%149 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
91%408 patients4/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 89% · 175 patients
92%175 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
48%200 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
48%200 patients4/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 6% · 102 patients
24%102 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims49 services$6.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims30 services$0.98 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers36 claims36 services$40.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers46 claims46 services$13.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers46 claims46 services$63.06 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$9.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DEAN CARPOUSIS MD
Specialist
2001 COLUMBIA PIKE, SUITE 131
ARLINGTON, VA 22204
Arlington County (703) 979-1777

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 Shanti Prasad's NPI number?

The NPI number for Shanti Prasad is 1982646113. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Shanti Prasad located?

Shanti Prasad practices at 2001 Columbia Pike Suite 131, Arlington, VA 22204. The listed phone number is (703) 979-1777.

What is Shanti Prasad's specialty?

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

Is Shanti Prasad enrolled in Medicare?

Yes. Shanti Prasad 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 Shanti Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanti Prasad reassigns Medicare benefits to 5 organizations: Virginia Hospital Center Physician Group, LLC (Arlington, VA), Inova Health Care Services (Falls Church, VA), Progressive Medical Associates, LLC. (Fairfax, VA), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA) and Hospitalist Medicine Physicians Of Virginia LLC (Winchester, 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 Shanti Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanti Prasad accept?

Health plans from Oscar Health list Shanti Prasad 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 Shanti Prasad affiliated with any hospitals?

According to CMS data, Shanti Prasad is affiliated with Virginia Hospital Center and Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Shanti Prasad was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.