Organization Active NPI

Jaggu Healthcare & Innovations PLLC

Doing business as Jaggu Health

  • Cardiovascular Disease Physician
  • Vienna, VA
National Provider Identifier
1215794284
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
JAGGU HEALTHCARE & INNOVATIONS PLLC
Doing business as
Jaggu Health
Practice address
1945 Old Gallows Rd Ste 210
Vienna, VA 22182-3931
Phone
(571) 470-6243
Fax
(571) 200-2617
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Authorized official

Name
Vijayendra Rao Jaligam, MDNPI 1770504490
Title
Ceo
Phone
(504) 289-3788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1945 Old Gallows Rd Ste 210
Vienna, VA 22182-3931

Mailing address

1945 Old Gallows Rd Ste 210
Vienna, VA 22182-3931
Phone (571) 470-6243

Other names 1

  • Jaggu Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240502002560 DC Part B Supplier - Clinic/Group Practice 0446690861 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2318448Jaggu Healthcare & Innovations PLLC1945 Old Gallows Road, Suite 210, Vienna, VA 22182Certificate of waiverFeb 10, 2027

National Provider Directory

National Provider Directory

Locations

1945 Old Gallows Rd
Ste 535
Vienna, VA 22182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756598400000",
    "number": "1215794284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 210",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823931",
            "telephone_number": "571-470-6243",
            "fax_number": "571-200-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 210",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823931",
            "telephone_number": "571-470-6243",
            "fax_number": "571-200-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGGU HEALTHCARE & INNOVATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "JALIGAM",
        "authorized_official_first_name": "VIJAYENDRA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-289-3788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaggu Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; 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.