SONAL GURUPRASAD VIJAYANAGAR (MD) – Surgery Physician, NPI 1750902649

SONAL GURUPRASAD VIJAYANAGAR (MD) is a healthcare provider. based in Centreville, Virginia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 2025-01630 (NC). The NPI Number for SONAL GURUPRASAD VIJAYANAGAR (MD) is 1750902649

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SONAL GURUPRASAD VIJAYANAGAR (MD)
NPI
1750902649
Phone
Not provided
Address
6665 JACKSON FIELDS CT
Enumeration Date
1 May 2020
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7043559484
Graduation Year
2020 (6 years ago)
PAC ID
4486046703
Group Practice PAC ID
3375449655
Professional Enrollment ID
I20250917000632
Address ID
NC282044318CH2630XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,256 GENERAL SURGERY in NC

Provider Addresses for SONAL GURUPRASAD VIJAYANAGAR (MD)

  • 6665 JACKSON FIELDS CT

    CENTREVILLE, VA 201216218

    Phone:

    Type: Mailing

  • 1000 BLYTHE BLVD

    CHARLOTTE, NC 282035812

    Phone: (704) 446-4066

    Type: Location

  • 27483 DEQUINDRE RD STE 301

    MADISON HEIGHTS, MI 480715715

    Phone: (248) 546-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $300.

Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Urgo Medical North America, LLC ($137).

Total Amount

$300

General + Research + Ownership

Payments

3

Total payment records

General Amount

$300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250917000632IGeneral SurgeryNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20121)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375449655View full group profile
NameSpecialtyState
-NC
Hospitalist, Internal MedicineNC
Nurse PractitionerNC
-NC
Nurse PractitionerNC
Physician AssistantNC
Physician AssistantCA
Physician AssistantNC
Physician AssistantWV
Thoracic Surgery, Cardiac SurgeryVA

Reviews

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Frequently asked questions

Where can patients find SONAL GURUPRASAD VIJAYANAGAR (MD)'s NPI?
You can confirm SONAL GURUPRASAD VIJAYANAGAR (MD) with NPI 1750902649; it appears in the national provider directory.
Is SONAL GURUPRASAD VIJAYANAGAR (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SONAL GURUPRASAD VIJAYANAGAR (MD) treat or focus on?
Patients typically see SONAL GURUPRASAD VIJAYANAGAR (MD) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SONAL GURUPRASAD VIJAYANAGAR (MD)?
The snapshot lists Centreville, Virginia for SONAL GURUPRASAD VIJAYANAGAR (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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