Active NPI
Madhusudan G Rajurkar, MD
- Pediatrics Physician
- Dumfries, VA
National Provider Identifier
1770658668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101036201
- Practice address
- 3700 Fettler Park Dr
Dumfries, VA 22025-2050 - Phone
- (757) 314-8901
- Fax
- (757) 314-8934
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101036201 | VA | Primary |
Addresses
Primary practice location
3700 Fettler Park Dr
Dumfries, VA 22025-2050
Mailing address
16490 Stedham Cir Apt 103
Dumfries, VA 22025-2101
Phone (703) 223-9564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151104003256 | VA | Order and Referring Only - Pediatric Medicine | 3476863374 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101036201 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1770658668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16490 STEDHAM CIR APT 103",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220252101",
"telephone_number": "703-223-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220252050",
"telephone_number": "757-314-8901",
"fax_number": "757-314-8934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJURKAR",
"first_name": "MADHUSUDAN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101036201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.