Individual provider Active NPI

Aparna H Kolli, M.D

  • Trauma Surgery Physician
  • Fredericksburg, VA
National Provider Identifier
1780843144
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
0101267914 Issued in VA
Practice address
1101 Sam Perry Blvd Ste 219
Fredericksburg, VA 22401-4465
Phone
(540) 741-2865
Fax
(540) 741-2868
NPI assigned
Jun 2, 2008
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101267914 VA
Surgical Critical Care Physician 2086S0102X 0101267914 VA
Trauma Surgery Physician 2086S0127X 0101267914 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd Ste 219
Fredericksburg, VA 22401-4465

Mailing address

1101 Sam Perry Blvd
Ste 219
Fredericksburg, VA 22401-4465
Phone (540) 741-2865

Other identifiers 2

IdentifierTypeStateIssuer
P01130911OtherNJRAILROAD MEDICARE
0247529MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 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
I20141111000140 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Surgical Oncology 6507919370 Reassigns benefits to 1 organization
I20191112003203 VA Practitioner - General Surgery 6507919370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians

Practice addresses (Care Compare)

1101 Sam Perry Blvd
Fredericksburg, VA 22401-4466
Phone (540) 741-2871

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101267914VAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 7, 2014 Accepting new patients
Mary Washington Healthcare Physicians Surgery CurrentSince Nov 1, 2019 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 1, 2019 Accepting new patients
Mary Washington Healthcare Providers LLC Surgery CurrentSince Apr 21, 2025 Accepting new patients
Mary Washington Hospital Inc. PastSince Apr 21, 2025 Accepting new patients

Locations

250 E Main St
Bay Shore, NY 11706
Phone (631) 390-7100

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

300 Community Dr
Manhasset, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1101 Sam Perry Blvd
Ste 219
Fredericksburg, VA 22401
Phone (540) 741-2855

1101 Sam Perry Blvd
Ste 400
Fredericksburg, VA 22401
Phone (540) 741-2865

1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

Interoperability endpoints

  • Direct secure messaging: akolli60837@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1780843144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "STE 219",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014465",
            "telephone_number": "540-741-2865",
            "fax_number": "540-741-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD STE 219",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014465",
            "telephone_number": "540-741-2865",
            "fax_number": "540-741-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLI",
        "first_name": "APARNA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101267914",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0101267914",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "VA",
            "license": "0101267914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01130911",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247529",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.