Active NPI
Prasadarao S Velugubanti, M.D
- Anesthesiology Physician
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101033701
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Anesthesiology | Current | Accepting new patients |
| Synergy Spine and Pain Center, LLC | Current | Accepting new patients | |
| Fairfax Colon & Rectal Surgery, PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Anesthesiology | Current | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Glenn Dale, MD
- NPI 1912413659
DC
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1952591547
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.