PRASAD REKULAPELLI MD PC (NPI# 1982812210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982812210 |
| Entity Type | Organization |
| Organization Name | PRASAD REKULAPELLI MD PC |
| Other Organization Name | DULLES PEDIATRICS |
| Practice Address |
4229 Lafayette Center Dr Suite 1425 Chantilly VA 20151-1209 |
| Practice Telephone | 7032639323 |
| Practice Fax Number | 7032630311 |
| Mailing Telephone | 7032639323 |
| Mailing Fax Number | 7032630311 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PRASAD REKULAPELLI (DIRECTOR) |
| Authorized Official Telephone | 7032639323 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0637964-8 | VA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dulles Pediatrics | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PRASAD REKULAPELLI MD PC | 4229 Lafayette Center Drive, Ste 1425, Chantilly, Virginia 20151 |
| Street Address |
4229 LAFAYETTE CENTER DR SUITE 1425 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104812700 | Prasad Rekulapelli | Pediatrics | 4229 Lafayette Center Dr, Suite 1425, Chantilly, VA 20151-1261 | 2005-09-20 |
| 1033534599 | Shannon Lee | Social Worker | 4229 Lafayette Center Dr, Suite 1200, Chantilly, VA 20151-1261 | 2014-02-20 |
| 1982028213 | Atcap Home Health Care Services,llc | Assisted Living Facility | 4229 Lafayette Center Dr, Chantilly, VA 20151-1261 | 2014-02-06 |
| 1841628138 | Fannypants LLC | Durable Medical Equipment & Medical Supplies | 4229 Lafayette Center Dr, Suite 1150, Chantilly, VA 20151-1261 | 2013-10-23 |
| 1003188483 | Commonwealth Gastroenterology, Plc | Internal Medicine | 4229 Lafayette Center Dr, #1000, Chantilly, VA 20151-1261 | 2012-02-01 |
| 1427328418 | Elizabeth Mahoney | Social Worker | 4229 Lafayette Center Dr, Suite 1200, Chantilly, VA 20151-1261 | 2012-01-06 |
| 1083982839 | Sean Mccumiskey | Physical Therapy Assistant | 4229 Lafayette Center Dr, 1250, Chantilly, VA 20151-1261 | 2011-12-08 |
| 1851695878 | Kathryn Mary Kramer | Social Worker | 4229 Lafayette Center Dr, 1200, Chantilly, VA 20151-1261 | 2011-01-05 |
| 1144453606 | Modi & Associates P.C. | Obstetrics & Gynecology | 4229 Lafayette Center Dr, Suite 1000, Chantilly, VA 20151-1261 | 2009-09-01 |
| 1578704797 | Lafayette Family Dentistry, Pllc | Dentist | 4229 Lafayette Center Dr, #1225, Chantilly, VA 20151-1261 | 2009-03-18 |
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|---|---|---|---|---|
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| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053592337 | Chantilly Family Practice | Clinic/Center | 4437 Brookfield Corporate Dr, Chantilly, VA 20151-2122 | 2007-11-15 |
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| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.