Organization Active NPI

Prasad Rekulapelli MD PC

Doing business as Dulles Pediatrics

  • Primary Care Clinic/Center
  • Chantilly, VA
National Provider Identifier
1982812210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0637964-8 Issued in VA
Legal business name
PRASAD REKULAPELLI MD PC
Doing business as
Dulles Pediatrics
Practice address
4229 Lafayette Center Dr
Suite 1425
Chantilly, VA 20151-1209
Phone
(703) 263-9323
Fax
(703) 263-0311
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Prasad Rekulapelli, M.DNPI 1104812700
Title
Director
Phone
(703) 263-9323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0637964-8 VA Primary

Addresses

Primary practice location

4229 Lafayette Center Dr
Suite 1425
Chantilly, VA 20151-1209

Mailing address

4229 Lafayette Center Dr
Suite 1425
Chantilly, VA 20151-1209
Phone (703) 263-9323

Other names 1

  • Dulles Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1041698Dulles Pediatrics4229 Lafayette Center Drive - Suite 1425, Chantilly, VA 20151Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

Locations

4229 Lafayette Center Dr
Ste 1425
Chantilly, VA 20151
Phone (703) 263-9323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982812210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR",
            "address_2": "SUITE 1425",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511209",
            "telephone_number": "703-263-9323",
            "fax_number": "703-263-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR",
            "address_2": "SUITE 1425",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511209",
            "telephone_number": "703-263-9323",
            "fax_number": "703-263-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASAD REKULAPELLI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REKULAPELLI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-263-9323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0637964-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dulles Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.