Pallavi Laxmi Samudrala, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101287481 Issued in VA

Practice address

Alexander T. Augusta Military Medical Center
9300 Dewitt Loop
Fort Belvoir, VA 22060

Phone

(571) 231-1803

NPI assigned

Mar 12, 2024

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 VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1881452001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 THORNTON WAY APT 310",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144428",
            "telephone_number": "703-673-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER",
            "address_2": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "571-231-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUDRALA",
        "first_name": "PALLAVI",
        "middle_name": "LAXMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101287481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Ryan, MD
• Molly Patricia Ryan, LCSW
• Teresa Kim Sakai
• Lindsey Rose Salis, CCC-SLP
• Ilyas Saloom, PMH-NP
• Jennie Samuel, OTD, OTR/L
• Rodolfo Gonzales San Juan, RN
• Terrel Sanders, M.D.
• Lisa D. Sandy, FNP
• Rachel E Sankey, APRN

• General Practice Physician in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.

Verify at the official NPI Registry.