Madhavi Kalavakuri
Individual provider Active NPI Physical Therapist · Adamstown, MD
NPI 1154771574 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1154771574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305210016 (VA)
- Practice address
- 3200 Baker Cir
Adamstown, MD 21710-9653 - Phone
- (571) 439-6662
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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 PC
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 100
- Quality
- 87.97
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25074 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Family Practice Centers PC | Current |
Accepting new patients | |
| Jackson Clinics Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Inova Physician Partners, LLC | Current |
Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003
20905 Professional Plz
Ste 110
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) 257-7822
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
12330 Pinecrest Rd
Ste 250
Reston, VA 20191
Phone (703) 476-1050
11800 Sunrise Valley Dr
Ste 700
Reston, VA 20191
Phone (703) 834-1473
8100 Ashton Ave
Ste 101
Sudley Springs, VA 20109
Phone (703) 205-7330
115 Park St SE
Ste 300
Vienna, VA 22180
Phone (703) 255-9100
115 Park St SE
Ste 205
Vienna, VA 22180
Phone (703) 255-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25074 | MD | |
| Physical Therapist | 225100000X | 2305210016 | VA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkalavakuri725783@soc.inova.org | Health Information Exchange (HIE) | Inova Physician Partners, LLC |
Other providers in Adamstown, MD
- Gateway to Growth LLC
- Jannette Gorman
- Sharon Lynn Haskins
- Cynthia Grace Hering
- Victoria Fonte Kadan
- Nicole Kosineski
- Catherine Rowena Lanham
- Evelyne Jeanne Makany Ndzana
- Caroline McGee
- Nesla Ngwatem
All providers in Adamstown, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.