Individual provider Active NPI

Gauthami Gondy, M.D

  • Internal Medicine Physician
  • Ashburn, VA
National Provider Identifier
1992963144
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101244685 Issued in VA
Practice address
21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128
Phone
(571) 291-6131
Fax
(571) 291-6135
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P19014 MD
Internal Medicine Physician 207R00000X 0101244685 VA Primary

Addresses

Primary practice location

21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (410) 402-2379

Other practice location 1

41187 Grenata Preserve Place
Leesburg, VA 20175
Phone (540) 635-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20090605000157 VA Practitioner - Internal Medicine 0143370544 Reassigns benefits to 1 organization
I20201015002985 DC Practitioner - Internal Medicine 0143370544

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erickson Health Medical Group of Virginia, PCGroup PAC ID 1153314067, 23 clinicians

Practice addresses (Care Compare)

21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128
Phone (571) 291-6131

Hospital & facility affiliations

  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • The Medical Team Inc Home health agency, Reston, VA, CCN 497033
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Ashby Ponds Inc Nursing home, Ashburn, VA, CCN 495416

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P19014MDMDInternal Medicine Physician
0101244685VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Virginia, PC CurrentSince May 15, 2023 Accepting new patients
Erickson Health Medical Group of Virginia PC Internal Medicine CurrentSince May 15, 2023 Accepting new patients
Erickson Health Medical Group of Virginia PC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5525 Research Park Dr
Catonsville, MD 21228

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

21170 Ashby Ponds Blvd
Ashburn, VA 20147
Phone (571) 291-6131

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1992963144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "410-402-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21170 ASHBY PONDS BLVD",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476128",
            "telephone_number": "571-291-6131",
            "fax_number": "571-291-6135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41187 Grenata Preserve Place",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "20175",
            "country_code": "US",
            "telephone_number": "540-635-0800",
            "fax_number": "540-635-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONDY",
        "first_name": "GAUTHAMI",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P19014",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101244685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.