Active NPI 1245330182 Individual Practitioner Female Practitioner

Dr. Sima Shukla , MD

Internal Medicine • Reston, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sima Shukla, MD is a certified Internal Medicine practicing in Reston, VA. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Shukla delivers high-quality medical care to the local community at 1860 TOWN CENTER DRIVE.

Dr. Shukla accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with high level of medical decision making, per day, if using time, at least, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1860 Town Center Drive
Suite # 210

Reston, VA 20190

Telephone 7034816999

Fax 7034371101

Associated Practice Facility / Clinic

🏢 Quality Internal Medicine, Pllc Facility NPI 1497936017

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Reston, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +8.3 yrs vs City Avg

City Avg: 30.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

61 Specialists

Practicing in Reston, VA (3758 Statewide)

Telehealth Adoption Rate

21.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

11.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shukla (39 Years) 39 Yrs

Reston Specialty Average (30.7 Years) 30.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	176	20	$175.00	$167.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	17	$150.00	$137.49
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	29	21	$25.00	$17.07
36410 Insertion of needle into vein, patient 3 years or older	21	12	$35.00	$19.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	181	23	$175.00	$172.38
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	55	11	$150.00	$147.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	18	$150.00	$143.52
36410 Insertion of needle into vein, patient 3 years or older	21	13	$35.00	$20.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	336	43	$175.00	$173.26
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	162	30	$150.00	$148.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	56	$150.00	$146.63
36410 Insertion of needle into vein, patient 3 years or older	79	52	$35.00	$20.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	73	73	$250.00	$246.15
99291 Critical care, first 30-74 minutes	59	11	$300.00	$241.00
93000 Routine ekg using at least 12 leads including interpretation and report	54	41	$110.00	$16.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	14	$150.00	$113.52
99306 Initial nursing facility visit, typically 45 minutes per day	28	27	$350.00	$182.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	17	$350.00	$219.74
99239 Hospital discharge day management, more than 30 minutes	22	16	$250.00	$117.65
99316 Nursing facility discharge management, more than 30 minutes	21	21	$200.00	$114.87
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	19	19	$350.00	$204.78
99336 Established patient assisted living visit, typically 40 minutes	12	12	$150.00	$149.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$200.00	$197.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	410	50	$175.00	$175.21
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	211	46	$150.00	$150.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	21	$150.00	$150.16
99306 Initial nursing facility visit, typically 45 minutes per day	48	46	$350.00	$186.92
36410 Insertion of needle into vein, patient 3 years or older	33	15	$35.00	$20.92
99316 Nursing facility discharge management, more than 30 minutes	20	19	$200.00	$118.16
93000 Routine ekg using at least 12 leads including interpretation and report	14	11	$110.00	$17.53
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	12	12	$350.00	$208.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	596	81	$175.00	$176.32
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	314	59	$150.00	$151.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	31	$150.00	$126.61
99306 Initial nursing facility visit, typically 45 minutes per day	52	48	$350.00	$189.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	13	$150.00	$117.75
99316 Nursing facility discharge management, more than 30 minutes	42	38	$200.00	$119.71
36410 Insertion of needle into vein, patient 3 years or older	38	16	$35.00	$20.69
93000 Routine ekg using at least 12 leads including interpretation and report	24	18	$110.00	$20.32
99239 Hospital discharge day management, more than 30 minutes	16	12	$250.00	$122.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	12	$350.00	$229.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	903	121	$175.00	$174.07
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	363	91	$100.00	$52.95
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	353	89	$150.00	$105.91
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	298	88	$150.00	$149.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	31	$150.00	$123.90
99306 Initial nursing facility visit, typically 45 minutes per day	114	107	$350.00	$185.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	20	$150.00	$115.45
99316 Nursing facility discharge management, more than 30 minutes	57	52	$200.00	$118.18
36410 Insertion of needle into vein, patient 3 years or older	51	23	$35.00	$20.19
99291 Critical care, first 30-74 minutes	45	14	$300.00	$246.39
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	32	32	$350.00	$195.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	25	$350.00	$224.77
99239 Hospital discharge day management, more than 30 minutes	28	22	$250.00	$119.88
93000 Routine ekg using at least 12 leads including interpretation and report	18	14	$110.00	$19.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	1,155	165	$175.00	$171.09
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	856	114	$100.00	$51.67
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	854	113	$150.00	$103.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	36	$150.00	$118.26
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	82	82	$350.00	$188.32
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	70	19	$150.00	$146.47
36410 Insertion of needle into vein, patient 3 years or older	63	30	$35.00	$18.96
99291 Critical care, first 30-74 minutes	61	17	$300.00	$237.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	18	$150.00	$111.75
93000 Routine ekg using at least 12 leads including interpretation and report	33	26	$110.00	$19.04
99336 Established patient assisted living visit, typically 40 minutes	32	24	$150.00	$134.64
99239 Hospital discharge day management, more than 30 minutes	25	21	$250.00	$116.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	18	$350.00	$217.53
99306 Initial nursing facility visit, typically 45 minutes per day	20	19	$350.00	$179.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	965	164	$175.00	$172.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	43	$150.00	$120.96
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	93	93	$350.00	$193.55
36410 Insertion of needle into vein, patient 3 years or older	85	44	$35.00	$19.51
99291 Critical care, first 30-74 minutes	58	13	$300.00	$241.24
93000 Routine ekg using at least 12 leads including interpretation and report	51	37	$110.00	$19.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	18	$156.00	$114.77
99336 Established patient assisted living visit, typically 40 minutes	42	38	$150.00	$136.25
99239 Hospital discharge day management, more than 30 minutes	27	20	$250.00	$119.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	21	$350.00	$223.11

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101227766

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

5806844 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Padma Shukla , MD FACP FACC

Internal Medicine - Cardiovascular Disease

NPI 1831299783

MDFACPFACC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2013

Registered at 1860 TOWN CENTER DRIVE, SUITE # 210, RESTON, VA 20190 (Tel: 7034816999)

📍

Updated Business Mailing Address July 10, 2013

Registered at 1860 TOWN CENTER DRIVE, SUITE # 210, RESTON, VA 20190 (Tel: 7034816999)

👤

Provider Name / Credentials Updated July 10, 2013

Recorded as SIMA SHUKLA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2013

Internal Medicine (License #0101227766 in VA)

🟢

Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245330182

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 22, 2006

Last Update: July 10, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1860 Town Center Drive, Suite # 210

Reston, VA 20190

Phone: 7034816999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.