SUNITHA VENKATACHALLAM MD
NPI 1205949815
Internal Medicine in Fairfax, VA

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
10340 DEMOCRACY LN STE 102, FAIRFAX, VA 22030(703) 218-2970(703) 218-2965 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2020, May 19, 2020 (2 updates tracked since 2020).

About Sunitha Venkatachallam Md NPPES

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

SUNITHA VENKATACHALLAM MD (NPI 1205949815) is an individual internal medicine provider in Fairfax, Virginia, licensed in Virginia (0101239294) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1205949815
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUNITHA VENKATACHALLAMCredential: MD
Location Address10340 DEMOCRACY LN STE 102Fairfax, VA 22030-2518
Mailing Address10340 Democracy Ln Ste 102Fairfax, VA 22030-2518 · (703) 218-2970 · Fax (703) 218-2965
Fax(703) 218-2965
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 16, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
NPI 1205949815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101239294
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.
10340 DEMOCRACY LN STE 102, Fairfax, VA 22030

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

Sunitha Venkatachallam 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.

PECOS PAC ID6103827399
PECOS Enrollment IDI20070131000401, I20150521002421
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 13

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 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.
142 services107 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.
133 services133 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.
129 services18 patients
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.
126 services97 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.
48 services48 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.
44 services44 patients

Hospital Affiliations CMS Care Compare 2

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

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 Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
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 10

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

Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims324 services$2.72 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers20 claims74 services$5.80 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,020 services$1.56 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier12 claims92 services$1.53 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims110 services$0.07 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier12 claims1,116 services$2.16 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 4

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

Behavior Technician
10340 DEMOCRACY LN STE 102
FAIRFAX, VA 22030
Behavior Technician
10340 DEMOCRACY LN STE 102
FAIRFAX, VA 22030
Behavior Technician
10340 DEMOCRACY LN STE 102
FAIRFAX, VA 22030
Behavior Technician
10340 DEMOCRACY LN STE 102
FAIRFAX, VA 22030

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 Sunitha Venkatachallam's NPI number?

The NPI number for Sunitha Venkatachallam is 1205949815. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Sunitha Venkatachallam located?

Sunitha Venkatachallam practices at 10340 Democracy Ln Ste 102, Fairfax, VA 22030. The listed phone number is (703) 218-2970.

What is Sunitha Venkatachallam's specialty?

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

Is Sunitha Venkatachallam enrolled in Medicare?

Yes. Sunitha Venkatachallam 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 Sunitha Venkatachallam affiliated with any hospitals?

According to CMS data, Sunitha Venkatachallam is affiliated with Inova Fairfax Hospital and Inova Fair Oaks Hospital.

When was this NPI record last updated?

The NPPES record for Sunitha Venkatachallam was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.