NPIMap

Individual provider Active NPI

Maadhava Ellaurie, MD

  • Allergy & Immunology Physician
  • Sterling, VA
National Provider Identifier
1942275714
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0101057402 Issued in VA
Practice address
21165 Whitfield PL
Suite 202
Sterling, VA 20165-7280
Phone
(703) 444-0817
Fax
(703) 444-0893
NPI assigned
Feb 22, 2006
Last updated
Oct 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0101057402 VA Primary

Addresses

Primary practice location

21165 Whitfield PL
Suite 202
Sterling, VA 20165-7280

Mailing address

21165 Whitfield PL
Suite 202
Sterling, VA 20165-7280
Phone (703) 444-0817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maadhava Ellaurie MD PC Allergy & Immunology Past Accepting new patients
Virginia Center for Allergy, Asthma and Sinus, PC Past Accepting new patients
Accredited Allergy Center of Springfield, LTD Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1942275714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21165 WHITFIELD PL",
            "address_2": "SUITE 202",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657280",
            "telephone_number": "703-444-0817",
            "fax_number": "703-444-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21165 WHITFIELD PL",
            "address_2": "SUITE 202",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657280",
            "telephone_number": "703-444-0817",
            "fax_number": "703-444-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLAURIE",
        "first_name": "MAADHAVA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101057402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.