Individual provider Active NPI

Sunil Vishwanath Kololgi, M.D.,

  • Emergency Medical Services (Emergency Medicine) Physician
  • Luray, VA
National Provider Identifier
1336149343
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
0101042558 Issued in VA
Practice address
200 Memorial Dr
Page Memorial Hospital
Luray, VA 22835-1000
Phone
(540) 743-4561
Fax
(540) 743-1512
NPI assigned
Aug 1, 2005
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0101042558 VA Primary

Addresses

Primary practice location

200 Memorial Dr
Page Memorial Hospital
Luray, VA 22835-1000

Mailing address

7417 Clifton Quarry Dr
Clifton, VA 20124-2810
Phone (703) 930-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ignaz P Jarbadan MD PC PastSince Jul 30, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1336149343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 CLIFTON QUARRY DR",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201242810",
            "telephone_number": "703-930-1980",
            "fax_number": "703-991-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL DR",
            "address_2": "PAGE MEMORIAL HOSPITAL",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351000",
            "telephone_number": "540-743-4561",
            "fax_number": "540-743-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOLGI",
        "first_name": "SUNIL",
        "middle_name": "VISHWANATH",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101042558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luray, VA

Sources for this page

Verify at the official NPI Registry.