MS. MYSORE VIJAYENDRA MAITRI M.D
NPI 1073697082
Internal Medicine in Ashburn, VA

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
22505 LANDMARK CT STE 210, ASHBURN, VA 20148(571) 612-6600(571) 612-6601 Get Directions Write a Review

NPPES record last updated: October 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 24, 2021, Oct 16, 2020 (2 updates tracked since 2020).

About Ms. Mysore Vijayendra Maitri M.d NPPES

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

MS. MYSORE VIJAYENDRA MAITRI M.D (NPI 1073697082) is an individual internal medicine provider in Ashburn, Virginia, licensed in Virginia (0101250502) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1073697082
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. MYSORE VIJAYENDRA MAITRICredential: M.D
Location Address22505 LANDMARK CT STE 210Ashburn, VA 20148-6502
Mailing Address22505 Landmark Ct Ste 210Ashburn, VA 20148-6502 · (571) 612-6600 · Fax (571) 612-6601
Fax(571) 612-6601
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 24, 20212 updates tracked since enumeration
NPPES CertifiedOctober 24, 2021
NPI 1073697082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in VA · 0101250502 Licensed in NY · 223454
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

22505 LANDMARK CT STE 210, Ashburn, VA 20148

Other Identifiers 1

Medicaid02217265NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Mysore Vijayendra Maitri 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 ID3870787302
PECOS Enrollment IDI20111026000493, I20160325000722
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.

Areas of Expertise CMS Part B claims 5

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.
188 services89 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.
63 services63 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.
33 services29 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.
26 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20148 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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
7 suppliers12 claims28 services$6.59 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 3

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

Internal Medicine
22505 LANDMARK CT STE 210
ASHBURN, VA 20148
Family Medicine
22505 LANDMARK CT STE 210
ASHBURN, VA 20148
Physical Therapist
22505 LANDMARK CT STE 210
ASHBURN, VA 20148

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 Mysore Maitri's NPI number?

The NPI number for Mysore Maitri is 1073697082. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Mysore Maitri located?

Mysore Maitri practices at 22505 Landmark Ct Ste 210, Ashburn, VA 20148. The listed phone number is (571) 612-6600.

What is Mysore Maitri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mysore Maitri enrolled in Medicare?

Yes. Mysore Maitri 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.

Is Mysore Maitri affiliated with any hospitals?

According to CMS data, Mysore Maitri is affiliated with Inova Loudoun Hospital and Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Mysore Maitri was last updated on October 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.