Active NPI
Vineela Ayyagari
- Foot & Ankle Surgery Podiatrist
- Manassas, VA
National Provider Identifier
1104300359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- LL9860
- Practice address
- 9017 Fletcher Farm CT
Manassas, VA 20112-5867 - Phone
- (703) 398-7944
- NPI assigned
- Sep 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | LL9860 | MD | Primary |
Addresses
Primary practice location
9017 Fletcher Farm CT
Manassas, VA 20112-5867
Mailing address
9017 Fletcher Farm CT
Manassas, VA 20112-5867
Phone (703) 398-7944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL9860 | MD | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537660800000",
"number": "1104300359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9017 FLETCHER FARM CT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201125867",
"telephone_number": "703-398-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9017 FLETCHER FARM CT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201125867",
"telephone_number": "703-398-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYYAGARI",
"first_name": "VINEELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-23",
"last_updated": "2018-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "LL9860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.