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JEEVAN ERRABOLU MD PLLC
NPI 1336944321
Family Medicine in Reston, VA

Active since February 14, 2025
11130 SUNRISE VALLEY DR STE 120, RESTON, VA 20191(571) 376-1135 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jeevan Errabolu Md Pllc NPPES

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

JEEVAN ERRABOLU MD PLLC (NPI 1336944321) is a healthcare organization registered as a family medicine in Reston, Virginia and active in the NPI registry since February 2025. The organization lists Chris Kirby, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1336944321
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJEEVAN ERRABOLU MD PLLC
Location Address11130 SUNRISE VALLEY DR STE 120Reston, VA 20191-5474
Mailing Address11130 Sunrise Valley Dr Ste 120Reston, VA 20191-5474 · (571) 376-1135
Phone(571) 376-1135
Organization SubpartNo
Authorized OfficialChris KirbyCredentialing Administrator · (301) 565-2250
Enumeration DateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1336944321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
11130 SUNRISE VALLEY DR STE 120, Reston, VA 20191
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ARCHANA SRINIVASAN DDS PLLC
Clinic/Center (Dental)
11130 SUNRISE VALLEY DR STE 120
RESTON, VA 20191
Fairfax County (571) 446-4060

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 Jeevan Errabolu MD PLLC's NPI number?

The NPI number for Jeevan Errabolu MD PLLC is 1336944321. It was assigned to this organization in the NPPES registry on February 14, 2025.

Where is Jeevan Errabolu MD PLLC located?

Jeevan Errabolu MD PLLC is located at 11130 Sunrise Valley Dr Ste 120, Reston, VA 20191. The listed phone number is (571) 376-1135.

What is Jeevan Errabolu MD PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeevan Errabolu MD PLLC was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.