Individual provider Active NPI

Prasadarao S Velugubanti, M.D

  • Anesthesiology Physician
  • Vienna, VA
National Provider Identifier
1477584910
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101033701 Issued in VA
Practice address
8230 Leesburg Pike Ste 630
Vienna, VA 22182-2641
Phone
(703) 861-9404
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101033701 VA Primary

Addresses

Primary practice location

8230 Leesburg Pike Ste 630
Vienna, VA 22182-2641

Mailing address

8230 Leesburg Pike Ste 630
Vienna, VA 22182-2641
Phone (703) 861-9404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090423000085 DC Practitioner - Anesthesiology 1951491018 Reassigns benefits to 3 organizations
I20111019000238 VA Practitioner - Anesthesiology 1951491018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Spine and Pain Center LLCGroup PAC ID 5890057590, 4 clinicians

Practice addresses (Care Compare)

12150 Annapolis Rd
Suite 209
Glenn Dale, MD 20769-9183
Phone (413) 798-0399

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Synergy Spine and Pain Center, LLC CurrentSince Oct 25, 2021 Accepting new patients
Fairfax Colon & Rectal Surgery, PC CurrentSince Feb 1, 2023 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Home Physicians Baltimore, PC Past Accepting new patients

Locations

6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817
Phone (301) 263-0800

10709 Indian Head Hwy
Ste D
Ft Washington, MD 20744
Phone (240) 493-9650

12150 Annapolis Rd
Ste 209
Glenn Dale, MD 20769
Phone (240) 929-6652

2710 Prosperity Ave
Ste 200
Fairfax, VA 22031
Phone (703) 650-2333

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

525 Amherst St
Winchester, VA 22601
Phone (336) 420-7472

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1477584910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 LEESBURG PIKE STE 630",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822641",
            "telephone_number": "703-861-9404",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 LEESBURG PIKE STE 630",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822641",
            "telephone_number": "703-861-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELUGUBANTI",
        "first_name": "PRASADARAO",
        "middle_name": "S",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101033701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.