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Deactivated NPI 1104812700 Deactivated / Inactive NPI Male Practitioner

Dr. Prasad Rekulapelli , MD

Pediatrics • Chantilly, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Prasad Rekulapelli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2005
NPI Deactivation Date March 24, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Prasad Rekulapelli, MD was a registered Pediatrics practicing in Chantilly, VA. Throughout an active medical career spanning 1 years, Dr. Rekulapelli provided care at the practice location at 4229 LAFAYETTE CENTER DR until profile deactivation on 2006-03-24.

Practice Location & Contact Primary Location

Practice Address

4229 Lafayette Center Dr
Suite 1425

Chantilly, VA 201511261

Telephone 7032639323
Fax 7032630311
Associated Practice Facility / Clinic
🏢 Nova Medical Services,pllc Facility NPI 1679692974

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Chantilly, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Chantilly, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101235112

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MD D0059828

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1699953117

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location August 24, 2011

Registered at 4229 LAFAYETTE CENTER DR, SUITE 1425, CHANTILLY, VA 201511261 (Tel: 7032639323)

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Updated Business Mailing Address August 24, 2011

Registered at 4229 LAFAYETTE CENTER DR, SUITE 1425, CHANTILLY, VA 201511261 (Tel: 7032639323)

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Provider Name / Credentials Updated August 24, 2011

Recorded as PRASAD REKULAPELLI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2011

Pediatrics (License #0101235112 in VA)

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NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

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NPI Profile Deactivated March 24, 2006

Record deactivated on March 24, 2006

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Initial NPI Registration & Enumeration September 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104812700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2005
Last Update: August 24, 2011
Deactivation Date: March 24, 2006
Sole Proprietor: No

Mailing Address

4229 Lafayette Center Dr, Suite 1425

Chantilly, VA 201511261

Phone: 7032639323

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.