Organization Active NPI

Vienna Medical Group PLLC

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1467374884
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jul 28, 2026

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.