Prasad Rekulapelli, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101235112 Issued in VA

Practice address

4229 Lafayette Center Dr
Suite 1425
Chantilly, VA 20151-1261

Phone

(703) 263-9323

Fax

(703) 263-0311

NPI assigned

Sep 20, 2005

Reactivated

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prasad Rekulapelli MD PC

  • Primary Care Clinic/Center
  • Chantilly, VA
  • NPI 1982812210
  NPD (past) Authorized official

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1104812700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR",
            "address_2": "SUITE 1425",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511261",
            "telephone_number": "703-263-9323",
            "fax_number": "703-263-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR",
            "address_2": "SUITE 1425",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511261",
            "telephone_number": "703-263-9323",
            "fax_number": "703-263-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKULAPELLI",
        "first_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-08-24",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101235112",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0059828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Elizabeth Reale
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• Raniel Recio
• Recovery Innovations, Inc
• Rehab Essentials, PLLC
• Renaissance Healthcare Group Virginia, LLC
• Francisco Renteria
• Resilient Physical Therapy LLC
• Retire-in-Place LLC
• Revival Wellness & Ketamine

• Pediatrics Physician in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.