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SEETHA M DURBHAKULA M.D.
NPI 1013115112
Family Medicine in Annandale, VA

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
7617 LITTLE RIVER TURNPIKE, SUITE 600, ANNANDALE, VA 22003(703) 256-5680(703) 658-1684 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2021, Oct 15, 2020 (2 updates tracked since 2020).

About Seetha M Durbhakula M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEETHA M DURBHAKULA M.D. (NPI 1013115112) is an individual family medicine provider in Annandale, Virginia, licensed in Virginia (0101246499) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1013115112
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSEETHA M DURBHAKULACredential: M.D.
Location Address7617 LITTLE RIVER TURNPIKE, SUITE 600Annandale, VA 22003-2603
Mailing Address7617 Little River Turnpike, Suite 600Annandale, VA 22003-2603 · (703) 256-5680 · Fax (703) 658-1684
Phone(703) 256-5680
Fax(703) 658-1684
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 10, 2007
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1013115112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101246499✔ Licensed in VA · 0116019120
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7617 LITTLE RIVER TURNPIKE, Annandale, VA 22003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seetha M Durbhakula M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436313178
PECOS Enrollment IDI20120611000181
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Seetha Durbhakula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services
2.0 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627
Inova Physician Partners, LLC
13 mi
Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia enrollment
  • 379 clinicians in this Medicare group
NPI 1215264916 (703) 321-2609

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
323 services180 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services114 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
149 services149 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
73 services11 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
64 services63 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
50 services49 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers16 claims42 services$3.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAUREN HEATHER METH PAC MPH
Physician Assistant
7617 LITTLE RIVER TURNPIKE, #600
ANNANDALE, VA 22003
Fairfax County (703) 256-5680
AMY WALTER SLP
Speech-Language Pathologist
7617 LITTLE RIVER TURNPIKE, SUITE 310
ANNANDALE, VA 22003
Fairfax County (703) 941-7757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seetha Durbhakula's NPI number?

The NPI number for Seetha Durbhakula is 1013115112. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Seetha Durbhakula located?

Seetha Durbhakula practices at 7617 Little River Turnpike Suite 600, Annandale, VA 22003. The listed phone number is (703) 256-5680.

What is Seetha Durbhakula's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Seetha Durbhakula enrolled in Medicare?

Yes. Seetha Durbhakula is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Seetha Durbhakula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seetha Durbhakula reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Inova Physician Partners, LLC (Chantilly, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Seetha Durbhakula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seetha Durbhakula accept?

Health plans from Oscar Health list Seetha Durbhakula as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Seetha Durbhakula affiliated with any hospitals?

According to CMS data, Seetha Durbhakula is affiliated with Virginia Hospital Center, Inova Fairfax Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Seetha Durbhakula was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.