NPIMap

Organization Active NPI

Ashburn Walk-in Clinic & Primary Care

  • Preferred Provider Organization
  • Ashburn, VA
National Provider Identifier
1003251737
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0101058298 Issued in VA
Legal business name
ASHBURN WALK-IN CLINIC & PRIMARY CARE
Practice address
21001 Sycolin Rd
Unit 180
Ashburn, VA 20147-4069
Phone
(540) 419-5751
Fax
(540) 727-8882
NPI assigned
May 8, 2013
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Venkateswar Rao Veerapalli, M.D.NPI 1164643300
Title
Owner
Phone
(540) 419-5751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0101058298 VA Primary

Addresses

Primary practice location

21001 Sycolin Rd
Unit 180
Ashburn, VA 20147-4069

Mailing address

21001 Sycolin Rd
Unit 180
Ashburn, VA 20147-4069
Phone (540) 419-5751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051207000167 VA Part B Supplier - Clinic/Group Practice 5193745065 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Culpeper, VA; Ashburn, VA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2059995Ashburn Walk-in Clinic and Primary Care21001 Sycolin Road, Unit 180, Ashburn, VA 20147Certificate of waiverJun 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ashburn Walk-in Clinic and Prim2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21001 Sycolin Rd
Ste 180
Ashburn, VA 20147
Phone (540) 419-5751

451 James Madison Hwy
Ste 104
Culpeper, VA 22701
Phone (540) 727-8880

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1003251737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 SYCOLIN RD",
            "address_2": "UNIT 180",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474069",
            "telephone_number": "540-419-5751",
            "fax_number": "540-727-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 SYCOLIN RD",
            "address_2": "UNIT 180",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474069",
            "telephone_number": "540-419-5751",
            "fax_number": "540-727-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHBURN WALK-IN CLINIC & PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "VEERAPALLI",
        "authorized_official_first_name": "VENKATESWAR",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-419-5751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0101058298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.