| Mark Shasti, MD | |
|
21351 Gentry Dr Ste 125, Sterling, VA 20166-8511 | |
| (703) 774-3132 | |
| (703) 683-7801 |
| Full Name | Mark Shasti |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 12 Years |
| Location | 21351 Gentry Dr Ste 125, Sterling, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295078848 | NPI | - | NPPES |
| 7100527830 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0101266855 (Virginia) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 0101266855 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reston Hospital Center | Reston, VA | Hospital |
| Stonesprings Hospital Center | Dulles, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Health Care Services | 2466351093 | 1588 |
| Nova Spine Center, Llc | 0143688366 | 2 |
| Entity Name | Loudoun Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
| Entity Name | Nova Spine Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598454381 PECOS PAC ID: 0143688366 Enrollment ID: O20230719001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Shasti, MD 46090 Lake Center Plz Ste 102, Sterling, VA 20165-5877 Ph: (703) 774-3132 | Mark Shasti, MD 21351 Gentry Dr Ste 125, Sterling, VA 20166-8511 Ph: (703) 774-3132 |
Matthew H Griffith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166 Phone: 703-444-5000 Fax: 703-444-4999 | |
Dr. Randall S Peyton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166 Phone: 703-444-5000 Fax: 703-444-4999 | |
Dr. Lynnford S Wilson, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166 Phone: 703-444-5000 Fax: 703-444-4999 | |
Dr. Janet M Baker, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 21475 Ridgetop Cir, Ste 150, Sterling, VA 20166 Phone: 703-444-5000 Fax: 703-444-4999 | |
Imran A Khan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 46000 Center Oak Plz Ste 260, Sterling, VA 20166 Phone: 703-970-6464 Fax: 703-970-6468 | |
Dr. Paul Thomas Mecherikunnel, M.D Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 107 E Holly Ave, Ste 3, Sterling, VA 20164 Phone: 703-435-5510 Fax: 703-435-3147 |