Individual provider Active NPI

Arunachalam M Vedhanayakam, MD

  • Pediatrics Physician
  • Norton, VA
National Provider Identifier
1134134539
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101023719 Issued in VA
Practice address
1761 Park Ave SW
Norton, VA 24273-1626
Phone
(276) 325-0461
Fax
(276) 325-0469
NPI assigned
Jul 31, 2006
Last updated
Mar 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101023719 VA Primary

Addresses

Primary practice location

1761 Park Ave SW
Norton, VA 24273-1626

Mailing address

1761 Park Ave SW
Norton, VA 24273
Phone (276) 325-0461

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101023719VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J T Potter Jr MD PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1134134539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 PARK AVE SW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "24273",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 PARK AVE SW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731626",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDHANAYAKAM",
        "first_name": "ARUNACHALAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101023719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.