Vijaya Lakshmi Gorle, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101235079 Issued in VA

Practice address

4080 Lafayette Center Dr
Suite 110
Chantilly, VA 20151-1218

Phone

(703) 961-1680

Fax

(703) 961-1681

NPI assigned

Oct 28, 2005

Last updated

Mar 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Internal Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FFCADD/Endpoint/FFCADD

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

• Dulles Health LLC

  • Internal Medicine Physician
  • Chantilly, VA
  • NPI 1093933723

  DC

  Medicare reassignment Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Inpatient Specialists PA

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1700858586
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1750371803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 LAFAYETTE CENTER DR",
            "address_2": "SUITE 110",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511218",
            "telephone_number": "703-961-1680",
            "fax_number": "703-961-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LAFAYETTE CENTER DR",
            "address_2": "SUITE 110",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511218",
            "telephone_number": "703-961-1680",
            "fax_number": "703-961-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLE",
        "first_name": "VIJAYA",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101235079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Goodman
• Angela S Goodson-Acevedo
• David S Goodwin, M.D.
• Krista Goovaerts, M.A., CCC-SLP
• Michelle Gorden, LPC
• Irini Gouda, PHYSICAL THERAPY
• Kanika Govil, MD
• Ada Grabowski
• Grace Dental of Virginia, LLC
• Grace Health LLC (Mindwell Psychology)

• Internal Medicine Physician in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.

Verify at the official NPI Registry.