Individual provider Active NPI

Amritha Devi Sundaresan, MD

  • Ophthalmology Physician
  • Falls Church, VA
National Provider Identifier
1609491661
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101281174 Issued in VA
Practice address
6565 Arlington Blvd Ste 250
Falls Church, VA 22042-3030
Phone
(703) 534-3900
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2020016513 MO
Ophthalmology Physician 207W00000X 0101281174 VA Primary
Internal Medicine Physician 207R00000X 10128117 VA

Addresses

Primary practice location

6565 Arlington Blvd Ste 250
Falls Church, VA 22042-3030

Mailing address

1600 Clarendon Blvd Apt 310
Arlington, VA 22209-2791
Phone (901) 237-7539

Other practice location 1

3975 Fair Ridge Drive
Ste 100S
Fairfax, VA 22033
Phone (703) 620-2701

Other names 1

  • Amirtha Devi Kanakamedala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20240903003672 VA Practitioner - Ophthalmology 0941624969 Reassigns benefits to 1 organization
I20241004002460 DC Practitioner - OphthalmologyPractitioner - Internal Medicine 0941624969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3975 Fair Ridge Dr
Suite S100
Fairfax, VA 22033-2924
Phone (703) 620-2701

6565 Arlington Blvd
Suite 250
Falls Church, VA 22042-3000

6565 Arlington Blvd
Suite 250
Falls Church, VA 22042-3030
Phone (703) 534-3900

8644 Sudley Rd
Suite 201
Manassas, VA 20110-4425
Phone (703) 369-8525

Merit-based Incentive Payment System (MIPS)

Final score
91.48 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
79.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Ophthalmology Assoc P.C. Ophthalmology CurrentSince Jun 21, 2024 Accepting new patients
Washington University Physicians in Illinois, Inc PastSince Jun 1, 2020 Accepting new patients
Northern Virginia Ophthalmology Assoc P.C PastSince Sep 29, 2024 Accepting new patients

Locations

6363 Walker Ln
Ste 150
Alexandria, VA 22310
Phone (703) 922-0906

3975 Fair Ridge Dr
Ste S100
Fairfax, VA 22033
Phone (703) 620-2701

6565 Arlington Blvd
Ste 250
Falls Church, VA 22042
Phone (703) 534-3900

8644 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (571) 349-2191

Interoperability endpoints

  • Direct secure messaging: asundaresan@nvoa.intellechartdirect.net

Organizations & group practices 3

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1609491661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CLARENDON BLVD APT 310",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092791",
            "telephone_number": "901-237-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 ARLINGTON BLVD STE 250",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423030",
            "telephone_number": "703-534-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 Fair Ridge Drive",
            "address_2": "Ste 100S",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22033",
            "country_code": "US",
            "telephone_number": "703-620-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDARESAN",
        "first_name": "AMRITHA",
        "middle_name": "DEVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2020016513",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101281174",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "10128117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMIRTHA",
            "last_name": "KANAKAMEDALA",
            "middle_name": "DEVI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.