Individual ProviderShikha MudgilNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address900 23rd St NW, Washington, DC 20037-2342(202) 715-4000(703) 378-7550PECOS EnrollmentBased on the most recent information from CMS, provider Shikha Mudgil is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1144792441Provider TypeIndividualFull NameMudgil, ShikhaGenderFemaleSole ProprietorNoEnumeration Date12/26/2018Last Updated4/27/2023Contact InformationPractice LocationPractice Address900 23rd St NW, Washington, DC 20037-2342Phone(202) 715-4000FaxUnlisted FaxMailing LocationMailing Address13031 Lee Jackson Hwy, Fairfax, VA 22033-2050Phone(703) 378-7550FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN1033223District of ColumbiaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024176695Virginia