Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayur Vallabhaneni, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164914446

Mayur Vallabhaneni, MD is an Emergency Medicine in Charlottesville, Virginia. Qualified in 2018, 8 years ago. Practices with Acs Primary Care Physicians - Southeast PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-8485
Fax: (434) 982-4118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4320 Seminary Rd, Alexandria, VA 22304-1535 — (240) 686-2300

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101272595 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164914446
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2018
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Acs Primary Care Physicians - Southeast Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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