Active NPI
Vienna Medical Group PLLC
- Internal Medicine Physician
- Vienna, VA
National Provider Identifier
1467374884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VIENNA MEDICAL GROUP PLLC
- Practice address
- 301 Maple Ave W Ste 420
Vienna, VA 22180-4301 - Phone
- (978) 265-6436
- NPI assigned
- Jul 28, 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
- Dr. Sivaram Yamajala, YAMAJALA
- Title
- Sole MBR
- Phone
- (978) 265-6436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
301 Maple Ave W Ste 420
Vienna, VA 22180-4301
Mailing address
301 Maple Ave W Ste 420
Vienna, VA 22180-4301
Phone (978) 265-6436
National Provider Directory
National Provider DirectoryLocations
301 Maple Ave W
Ste 420
Vienna, VA 22180
Phone (703) 319-4161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1467374884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MAPLE AVE W STE 420",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804301",
"telephone_number": "978-265-6436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MAPLE AVE W STE 420",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804301",
"telephone_number": "978-265-6436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIENNA MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "YAMAJALA",
"authorized_official_first_name": "SIVARAM",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "978-265-6436",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "YAMAJALA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.