Individual provider Active NPI

Madhavi Kalavakuri

  • Physical Therapist
  • Adamstown, MD
National Provider Identifier
1154771574
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210016 Issued in VA
Practice address
3200 Baker Cir
Adamstown, MD 21710-9653
Phone
(571) 439-6662
NPI assigned
Jun 16, 2016
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25074 MD
Physical Therapist 225100000X 2305210016 VA Primary

Addresses

Primary practice location

3200 Baker Cir
Adamstown, MD 21710-9653

Mailing address

23007 Broadrun Meadow Cir
Ashburn, VA 20148-6899

Other practice location 1

20905 Professional Plz Ste 330
Ashburn, VA 20147-3409
Phone (703) 726-0003

Other practice location 2

6201 Centreville Rd Ste 100
Centreville, VA 20121-2626
Phone (703) 263-9600

Other practice location 3

3650 Joseph Siewick Dr Ste 101
Fairfax, VA 22033-1700
Phone (703) 391-2020

Other practice location 4

3650 Joseph Siewick Dr Ste 400
Fairfax, VA 22033-1715
Phone (703) 391-2020

Other practice location 5

22895 Brambleton Plz Ste 200
Brambleton, VA 20148-4878
Phone (703) 722-2312

Other practice location 6

20905 Professional Plz Ste 110
Ashburn, VA 20147-3409
Phone (703) 726-0003

Other practice location 7

115 Park St SE Ste 205
Vienna, VA 22180-4653
Phone (703) 255-9100

Other practice location 8

11800 Sunrise Valley Dr Ste 700
Reston, VA 20191-5315
Phone (703) 834-1473

Other practice location 9

24430 Stone Springs Blvd Unit 400
Dulles, VA 20166-2268
Phone (703) 776-5040

Other practice location 10

8100 Ashton Ave Ste 101
Manassas, VA 20109-5647
Phone (703) 257-8090

Other practice location 11

8078 Crescent Park Dr Ste 201
Gainesville, VA 20155-3449
Phone (703) 753-4999

Other practice location 12

8988 Lorton Station Blvd Ste 201
Lorton, VA 22079-4758
Phone (703) 339-7550

Other practice location 13

381 Elden St Ste 1000
Herndon, VA 20170-4842
Phone (703) 481-1505

Other practice location 14

12330 Pinecrest Rd Ste 250
Reston, VA 20191-1657
Phone (703) 476-1050

Other practice location 15

115 Park St SE Ste 300
Vienna, VA 22180-4653
Phone (703) 255-9100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkalavakuri725783@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161104001675 VA Practitioner - Physical Therapist in Private Practice 9638457062 Reassigns benefits to 3 organizations
I20170126001797 DC Practitioner - Physical Therapist in Private Practice 9638457062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfax Family Practice Centers PCGroup PAC ID 4082513031, 106 clinicians

Practice addresses (Care Compare)

22895 Brambleton PLZ
Suite 200
Brambleton, VA 20148-4878
Phone (703) 481-1505

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25074MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Family Practice Centers PC CurrentSince Jul 1, 2025 Accepting new patients
Inova Physician Partners, LLC CurrentSince Aug 10, 2020 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Nov 23, 2016 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

20905 Professional Plz
Ste 110
Ashburn, VA 20147
Phone (703) 726-0003

20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

22895 Brambleton Plz
Ste 200
Brambleton, VA 20148
Phone (703) 220-0779

6201 Centreville Rd
Ste 100
Centreville, VA 20121
Phone (703) 263-9600

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

24430 Stone Springs Blvd
Ste 400
Dulles, VA 20166
Phone (703) 766-5040

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

3650 Joseph Siewick Dr
Ste 101
Fairfax, VA 22033
Phone (703) 391-0900

3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020

8078 Crescent Park Dr
Ste 201
Gainesville, VA 20155
Phone (703) 257-8090

381 Elden St
Ste 1000
Herndon, VA 20170
Phone (703) 481-1505

8988 Lorton Station Blvd
Ste 201
Lorton, VA 22079
Phone (703) 339-7550

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

11800 Sunrise Valley Dr
Ste 700
Reston, VA 20191
Phone (703) 834-1473

12330 Pinecrest Rd
Ste 250
Reston, VA 20191
Phone (703) 476-1050

8100 Ashton Ave
Ste 101
Sudley Springs, VA 20109
Phone (703) 205-7330

115 Park St SE
Ste 205
Vienna, VA 22180
Phone (703) 255-9100

115 Park St SE
Ste 300
Vienna, VA 22180
Phone (703) 255-9100

Interoperability endpoints

  • Direct secure messaging: mkalavakuri725783@soc.inova.org

Organizations & group practices 4

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1154771574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23007 BROADRUN MEADOW CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201486899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BAKER CIR",
            "city": "ADAMSTOWN",
            "state": "MD",
            "postal_code": "217109653",
            "telephone_number": "571-439-6662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20905 Professional Plz Ste 330",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201473409",
            "country_code": "US",
            "telephone_number": "703-726-0003",
            "fax_number": "703-726-6444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Centreville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201212626",
            "country_code": "US",
            "telephone_number": "703-263-9600",
            "fax_number": "844-560-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Joseph Siewick Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331700",
            "country_code": "US",
            "telephone_number": "703-391-2020",
            "fax_number": "703-391-1211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Joseph Siewick Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331715",
            "country_code": "US",
            "telephone_number": "703-391-2020",
            "fax_number": "703-391-1211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22895 Brambleton Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brambleton",
            "state": "VA",
            "postal_code": "201484878",
            "country_code": "US",
            "telephone_number": "703-722-2312",
            "fax_number": "703-722-2317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20905 Professional Plz Ste 110",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201473409",
            "country_code": "US",
            "telephone_number": "703-726-0003",
            "fax_number": "703-726-6444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Park St SE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804653",
            "country_code": "US",
            "telephone_number": "703-255-9100",
            "fax_number": "703-255-3457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11800 Sunrise Valley Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201915315",
            "country_code": "US",
            "telephone_number": "703-834-1473",
            "fax_number": "703-318-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24430 Stone Springs Blvd Unit 400",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662268",
            "country_code": "US",
            "telephone_number": "703-776-5040",
            "fax_number": "703-776-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Ashton Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201095647",
            "country_code": "US",
            "telephone_number": "703-257-8090",
            "fax_number": "703-257-7822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8078 Crescent Park Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201553449",
            "country_code": "US",
            "telephone_number": "703-753-4999",
            "fax_number": "703-753-5915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8988 Lorton Station Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220794758",
            "country_code": "US",
            "telephone_number": "703-339-7550",
            "fax_number": "703-339-7553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "381 Elden St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704842",
            "country_code": "US",
            "telephone_number": "703-481-1505",
            "fax_number": "703-742-8793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12330 Pinecrest Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201911657",
            "country_code": "US",
            "telephone_number": "703-476-1050",
            "fax_number": "703-476-7126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Park St SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804653",
            "country_code": "US",
            "telephone_number": "703-255-9100",
            "fax_number": "703-255-3457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALAVAKURI",
        "first_name": "MADHAVI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25074",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkalavakuri725783@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "115 Park St SE Ste 205",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221804653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adamstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.