Vasantha Udugampola, M.D

Key facts

NPI

1861694978

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

0101253793 (VA)

Practice address

502 W Broad St Ste 2
Falls Church, VA 22046-3206

Phone

(571) 421-8431

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 12

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.

• Patient First Maryland Medical Group, PLLC Family Medicine Physician · Glen Allen, VA · NPI 1962423632
  Medicare reassignment NPD FAMILY MEDICINE · MD
• Patient First Richmond Medical Group PLLC Family Medicine Physician · Glen Allen, VA · NPI 1689603748
  Medicare reassignment NPD DC · FAMILY MEDICINE · VA
• Luminis Health Medical Group, LLC Maternal & Fetal Medicine Physician · Annapolis, MD · NPI 1073580205
  Medicare reassignment NPD MD
• Luminis Health Medical Group, LLC Surgery Physician · Annapolis, MD · NPI 1649248485
  Medicare reassignment NPD DC
• Patient First Maryland Medical Group PLLC Family Medicine Physician · Silver Spring, MD · NPI 1265866503
  Medicare reassignment NPD DC · FAMILY MEDICINE
• Patient First Richmond Medical Group PLLC Urgent Care Clinic/Center · Fairfax, VA · NPI 1588018881
  NPD FAMILY MEDICINE
• Luminis Health Medical Group, LLC Surgery Physician · Annapolis, MD · NPI 1003883216
  NPD
• Luminis Health Medical Group, LLC Surgery Physician · Bowie, MD · NPI 1205154853
  NPD
• Luminis Health Medical Group, LLC Internal Medicine Physician · Bowie, MD · NPI 1720835010
  NPD
• Patient First Maryland Medical Group PLLC Family Medicine Physician · Waldorf, MD · NPI 1205087517
  NPD FAMILY MEDICINE
• Patient First Maryland Medical Group PLLC Family Medicine Physician · Capitol Heights, MD · NPI 1427807999
  NPD FAMILY MEDICINE
• Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527
  NPD (past)

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patient First Maryland Medical Group PLLC (258 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in DC, MD, VA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vaexchange@patientfirstclinics.com
• Direct secure messaging: mdexchange@patientfirstclinics.com

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 26, 2022.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1861694978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W BROAD ST STE 2",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463206",
            "telephone_number": "571-421-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6502 Kenilworth Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "MD",
            "postal_code": "207371372",
            "country_code": "US",
            "telephone_number": "301-927-0088",
            "fax_number": "301-927-7239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDUGAMPOLA",
        "first_name": "VASANTHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0068811",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101253793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "502 W Broad St Ste 2",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220463206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "21044 Frederick Rd",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208764132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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