MAYUR VALLABHANENI MD
NPI 1164914446
Emergency Medicine in Charlottesville, VA
About Mayur Vallabhaneni Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYUR VALLABHANENI MD (NPI 1164914446) is an individual emergency medicine provider in Charlottesville, Virginia, licensed in Virginia (0101272595) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Coliseum Medical Centers, Llc, Dba, and maintains a secondary practice location in Alexandria.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mayur Vallabhaneni Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mayur Vallabhaneni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alexandria, VA 22310
- Reassigned Medicare billing, District of Columbia enrollment
- 135 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Coliseum Medical Centers, LLC, Dba
Acute Care Hospitals · Macon, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mayur Vallabhaneni's NPI number?
The NPI number for Mayur Vallabhaneni is 1164914446. It was assigned to this individual provider in the NPPES registry on June 3, 2018.
Where is Mayur Vallabhaneni located?
Mayur Vallabhaneni practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-8485.
What is Mayur Vallabhaneni's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mayur Vallabhaneni enrolled in Medicare?
Yes. Mayur Vallabhaneni 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 Mayur Vallabhaneni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mayur Vallabhaneni reassigns Medicare benefits to 2 organizations: Alexandria Springfield Emergency Physicians PC (Alexandria, VA) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). 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 Mayur Vallabhaneni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mayur Vallabhaneni affiliated with any hospitals?
According to CMS data, Mayur Vallabhaneni is affiliated with Coliseum Medical Centers, LLC, Dba.
When was this NPI record last updated?
The NPPES record for Mayur Vallabhaneni was last updated on September 24, 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.
# Mayur Vallabhaneni, MD · NPI 1164914446
Emergency Medicine physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since June 3, 2018.
## Identity
- **NPI:** 1164914446 (Entity type: Individual)
- **Enumerated:** June 3, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101272595 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 LEE ST, Charlottesville, VA 22908-0816
- **Phone:** (434) 924-8485 · **Fax:** (434) 982-4118
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alexandria Springfield Emergency Physicians PC (NPI 1720839764, Alexandria, VA); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1164914446) · Data from the CMS NPPES public registry.