Individual provider Active NPI

Vijayendra Rao Jaligam, M.D

  • Cardiovascular Disease Physician
  • Vienna, VA
National Provider Identifier
1770504490
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101278527 Issued in VA
Practice address
1945 Old Gallows Rd Ste 210
Vienna, VA 22182-3931
Phone
(571) 470-6243
Fax
(571) 200-2617
NPI assigned
Jul 21, 2006
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 027061 LA
Cardiovascular Disease Physician 207RC0000X 0101278527 VA Primary
Cardiovascular Disease Physician 207RC0000X 2021040384 MO
Cardiovascular Disease Physician 207RC0000X 027061 LA

Addresses

Primary practice location

1945 Old Gallows Rd Ste 210
Vienna, VA 22182-3931

Mailing address

1945 Old Gallows Rd Ste 210
Vienna, VA 22182-3931
Phone (571) 470-6243

Other practice location 1

1945 Old Gallows Rd Ste 210
Vienna, VA 22182-3931
Phone (571) 470-6243

Other identifiers 1

IdentifierTypeStateIssuer
1043346MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, VA, DC, SC, MO, NC, ME7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20060123000275 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nephrology 7214951896 Reassigns benefits to 3 organizations
I20230609001720 VA Practitioner - Cardiovascular Disease (Cardiology) 7214951896
I20240503001980 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214951896 Reassigns benefits to 1 organization
I20241212000480 SC Practitioner - Cardiovascular Disease (Cardiology) 7214951896 Reassigns benefits to 1 organization
I20250923002830 MO Practitioner - Cardiovascular Disease (Cardiology) 7214951896 Reassigns benefits to 1 organization
I20250929000829 NC Practitioner - Diagnostic Radiology 7214951896 Reassigns benefits to 1 organization
I20260224002772 ME Practitioner - Cardiovascular Disease (Cardiology) 7214951896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

1150 State Hwy 248
Suite 200
Branson, MO 65616-4186
Phone (417) 336-4112

1945 Old Gallows Rd
Suite 210
Vienna, VA 22182-3931
Phone (571) 470-6243

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jaggu Healthcare & Innovations PLLC Cardiovascular Disease CurrentSince Mar 5, 2024 Accepting new patients
Colonial Family Practice, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Lsuhn Billing LLC CurrentSince Feb 1, 2010 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2008 Accepting new patients
Skaggs Community Hospital Association CurrentSince Sep 22, 2025 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2008 Accepting new patients
Colonial Family Practice, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Wilmington ASC LLC CurrentSince Aug 5, 2025 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Dec 30, 2008 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 22, 2026 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 22, 2026 Accepting new patients
Wilmington Health PLLC CurrentSince Aug 5, 2025 Accepting new patients
Skaggs Community Hospital Association CurrentSince Sep 22, 2025 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Dec 30, 2008 Accepting new patients
Lsuhn Billing LLC CurrentSince Feb 1, 2010 Accepting new patients
Colonial Family Practice, LLC Internal Medicine Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC Internal Medicine PastSince Sep 4, 2012 Accepting new patients
Colonial Family Practice & Ambulatory Care Center Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
Fl 3
New Orleans, LA 70112
Phone (504) 568-5523

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

489 State St
Bangor, ME 04401
Phone (207) 973-8837

1150 State Highway 248
Ste 200
Branson, MO 65616
Phone (417) 336-4112

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

4700 Forest Dr
Columbia, SC 29206
Phone (803) 256-1511

1013 Professional Ct
Ste A
Manning, SC 29102
Phone (803) 433-7425

325 Broad St
Ste 100
Sumter, SC 29150

327 Broad St
Sumter, SC 29150
Phone (803) 774-2781

385 W Wesmark Blvd
Sumter, SC 29150
Phone 8037735227 ext. 1013

674 W Liberty St
Sumter, SC 29150
Phone 80377352276010

1945 Old Gallows Rd
Ste 210
Vienna, VA 22182
Phone (571) 293-1218

1945 Old Gallows Rd
Ste 535
Vienna, VA 22182

8320 Old Courthouse Rd
Ste 401
Vienna, VA 22182
Phone (571) 999-7973

Interoperability endpoints

  • Direct secure messaging: vijayendra.jaligam.p1@direct.wilmingtonhealth.nextgenshare.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1770504490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 210",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823931",
            "telephone_number": "571-470-6243",
            "fax_number": "571-200-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 210",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823931",
            "telephone_number": "571-470-6243",
            "fax_number": "571-200-2617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Old Gallows Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823931",
            "country_code": "US",
            "telephone_number": "571-470-6243",
            "fax_number": "571-200-2617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JALIGAM",
        "first_name": "VIJAYENDRA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "027061",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101278527",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2021040384",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "027061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043346",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.