Active NPI
Excelsior Medicine PLLC
- Family Medicine Physician
- Reston, VA
National Provider Identifier
1356254304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EXCELSIOR MEDICINE PLLC
- Practice address
- 12359 Sunrise Valley Dr Ste 260
Reston, VA 20191-3494 - Phone
- (571) 267-7204
- NPI assigned
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raju Alluri, MD
- Title
- Owner
- Phone
- (703) 376-4777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
12359 Sunrise Valley Dr Ste 260
Reston, VA 20191-3494
Mailing address
12359 Sunrise Valley Dr Ste 260
Reston, VA 20191-3494
Phone (571) 267-7204
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Reston, VA
- NPI 1023571155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1356254304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12359 SUNRISE VALLEY DR STE 260",
"city": "RESTON",
"state": "VA",
"postal_code": "201913494",
"telephone_number": "571-267-7204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12359 SUNRISE VALLEY DR STE 260",
"city": "RESTON",
"state": "VA",
"postal_code": "201913494",
"telephone_number": "571-267-7204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELSIOR MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "ALLURI",
"authorized_official_first_name": "RAJU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-376-4777",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.