Individual provider Active NPI

Rajitha Siddineni, MD

  • Family Medicine Physician
  • Herndon, VA
National Provider Identifier
1154552891
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101261397 Issued in VA
Practice address
1043 Sterling Rd Ste 104
Herndon, VA 20170-3842
Phone
(703) 689-0111
Fax
(703) 689-0077
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101261397 VA Primary

Addresses

Primary practice location

1043 Sterling Rd Ste 104
Herndon, VA 20170-3842

Mailing address

1043 Sterling Rd Ste 104
Herndon, VA 20170-3842
Phone (703) 689-0111

Other practice location 1

13168 Centerpointe Way Ste 101
Woodbridge, VA 22193-5287
Phone (703) 730-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170417001920 DC Practitioner - Family Practice 7315093952 Reassigns benefits to 1 organization
I20180129000617 VA Practitioner - Family Practice 7315093952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millenium Medical CorpGroup PAC ID 9335201177, 17 clinicians

Practice addresses (Care Compare)

11213 Lee Hwy
Suite H
Fairfax, VA 22030-5698
Phone (703) 832-8023

13168 Centerpointe Way
Suite 101
Woodbridge, VA 22193-5287
Phone (703) 730-2000

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Millenium Medical Corp Family Medicine CurrentSince Dec 1, 2017 Accepting new patients
Emergency Medical Specialist, S.C Past Accepting new patients
Emergency Medical Specialists, II, S.C. Past Accepting new patients

Locations

1043 Sterling Rd
Ste 104
Herndon, VA 20170
Phone (703) 689-0111

6356 Hoadly Rd
Manassas, VA 20112
Phone (703) 590-5999

6356 Hoadly Rd
Ste 101
Manassas, VA 20112

24430 Stone Springs Blvd
Ste 200
Sterling, VA 20166
Phone (571) 367-0000

13168 Centerpointe Way
Ste 101
Woodbridge, VA 22193
Phone (703) 730-2000

Interoperability endpoints

  • Direct secure messaging: rajitha.siddineni.1@16257.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1154552891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 STERLING RD STE 104",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703842",
            "telephone_number": "703-689-0111",
            "fax_number": "703-689-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 STERLING RD STE 104",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703842",
            "telephone_number": "703-689-0111",
            "fax_number": "703-689-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13168 Centerpointe Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221935287",
            "country_code": "US",
            "telephone_number": "703-730-2000",
            "fax_number": "703-689-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDINENI",
        "first_name": "RAJITHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101261397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.