Individual provider Active NPI

Vijaya Lakshmi Nallamothu, M.D.

  • Psychiatry Physician
  • Leesburg, VA
National Provider Identifier
1285895797
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101254287 Issued in VA
Practice address
19 Fort Evans Rd NE Ste C
Leesburg, VA 20176-4487
Phone
(703) 737-2110
Fax
(703) 737-2111
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101254287 VA Primary
Psychiatry Physician 2084P0800X D0074148 MD

Addresses

Primary practice location

19 Fort Evans Rd NE Ste C
Leesburg, VA 20176-4487

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other names 1

  • Vijayalakshmi Nallamothu Other name

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
I20121218000121 DC Practitioner - PsychiatryPractitioner - Neurology 3678725793 Reassigns benefits to 1 organization
I20130821000061 VA Practitioner - PsychiatryPractitioner - Addiction Medicine 3678725793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

224 A Cornwall St NW
Suite 3.024
Leesburg, VA 20176-2701
Phone (703) 771-2837

224 B Cornwall NWST
Leesburg, VA 20176-2701

224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

8505 Arlington Blvd
Fairfax, VA 22031-4630

Hospital & facility affiliations

  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jul 15, 2013 Accepting new patients
Inova Health Care Services Psychiatry CurrentSince Mar 15, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3289 Woodburn Rd
Ste 300
Annandale, VA 22003
Phone (703) 207-7554

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

19 Fort Evans Rd NE
Ste C
Leesburg, VA 20176
Phone (703) 737-2110

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

Interoperability endpoints

  • Direct secure messaging: vnallamothu99153@soc.inova.org

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 3

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1285895797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FORT EVANS RD NE STE C",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764487",
            "telephone_number": "703-737-2110",
            "fax_number": "703-737-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLAMOTHU",
        "first_name": "VIJAYA",
        "middle_name": "LAKSHMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101254287",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0074148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAYALAKSHMI",
            "last_name": "NALLAMOTHU",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.