Organization Active NPI

Anu N. Ralapati, MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Fairfax, VA
National Provider Identifier
1306025382
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
0101054971 Issued in VA
Legal business name
ANU N. RALAPATI, MD PC
Practice address
3930 Walnut St
Fairfax, VA 22030-4738
Phone
(703) 591-9320
Fax
(703) 591-9321
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Anuradha Neelam Ralapati, MD
Title
MD
Phone
(703) 393-8187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 0101054971 VA Primary

Addresses

Primary practice location

3930 Walnut St
Fairfax, VA 22030-4738

Mailing address

3930 Walnut St
Fairfax, VA 22030-4738
Phone (703) 591-9320

Other identifiers 4

IdentifierTypeStateIssuer
285160OtherANTHEM BCBS
5914OtherCAREFIRST BCBS
5847044MedicaidVA
38001514OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

3930 Walnut St
Fairfax, VA 22030
Phone (703) 591-9320

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1306025382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-591-9320",
            "fax_number": "703-591-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-591-9320",
            "fax_number": "703-591-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANU N. RALAPATI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "RALAPATI",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_middle_name": "NEELAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "703-393-8187",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101054971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "285160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "5914",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5847044",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "38001514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.