Individual provider Active NPI

Sunitha Venkatachallam, MD

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1205949815
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101239294 Issued in VA
Practice address
10340 Democracy LN Ste 102
Fairfax, VA 22030-2518
Phone
(703) 218-2970
Fax
(703) 218-2965
NPI assigned
Aug 16, 2006
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101239294 VA Primary

Addresses

Primary practice location

10340 Democracy LN Ste 102
Fairfax, VA 22030-2518

Mailing address

10340 Democracy LN Ste 102
Fairfax, VA 22030-2518
Phone (703) 218-2970

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address svenkatachallam61128@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

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
I20070131000401 DC Practitioner - Internal Medicine 6103827399 Reassigns benefits to 2 organizations
I20150521002421 VA Practitioner - Internal Medicine 6103827399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3914 Centreville Rd
Suite 250
Chantilly, VA 20151-3290
Phone (703) 435-1223

6230 Rolling Rd
Suite Ij
Springfield, VA 22152-2307
Phone (571) 565-6460

Hospital & facility affiliations

  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101239294VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Aug 1, 2023 Accepting new patients
Fair Oaks Hospitalist Physicians, PLLC CurrentSince Jan 1, 2007 Accepting new patients
Inova Physician Partners, LLC CurrentSince Jul 14, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

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

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

10340 Democracy Ln
Ste 102
Fairfax, VA 22030
Phone (571) 386-0871

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

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

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Interoperability endpoints

  • Direct secure messaging: svenkatachallam61128@soc.inova.org

Organizations & group practices 7

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 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205949815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 DEMOCRACY LN STE 102",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302518",
            "telephone_number": "703-218-2970",
            "fax_number": "703-218-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10340 DEMOCRACY LN STE 102",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302518",
            "telephone_number": "703-218-2970",
            "fax_number": "703-218-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATACHALLAM",
        "first_name": "SUNITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101239294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svenkatachallam61128@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": "3914 Centreville Rd Ste 250",
            "city": "Chantilly",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201513290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.