Individual provider Active NPI

Vinay Vardhan Reddy Kandula, MBBS,FRCR, MRCP, DCH

  • Pediatric Radiology Physician
  • Wilmington, DE
National Provider Identifier
1023202611
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
C7-0003672 Issued in DE
Practice address
1600 Rockland Rd
Department of Radiology, a.I Dupont Children'S Hospital
Wilmington, DE 19803-3607
Phone
(302) 651-4664
Fax
(302) 651-4476
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X C7-0003672 DE Primary
Pediatric Radiology Physician 2085P0229X MD433905 PA
Pediatric Radiology Physician 2085P0229X C1-0008916 DE
Pediatric Radiology Physician 2085P0229X MT192173 PA

Addresses

Primary practice location

1600 Rockland Rd
Department of Radiology, a.I Dupont Children'S Hospital
Wilmington, DE 19803-3607

Mailing address

3964 Gateway Dr
Apartment A1
Philadelphia, PA 19145-6002
Phone (302) 252-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, FL, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100720000225 DE Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 8729110234 Reassigns benefits to 1 organization
I20120523000191 FL Practitioner - Diagnostic Radiology 8729110234 Reassigns benefits to 1 organization
I20180214000185 NJ Practitioner - Diagnostic Radiology 8729110234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Pediatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nemours FoundationGroup PAC ID 9537072483, shared by 5 NPIs, 249 clinicians

Practice addresses (Care Compare)

1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200

6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (407) 567-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C7-0003672DEMDPediatric Radiology Physician
MD433905PAMDPediatric Radiology Physician
MT192173PAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Apr 14, 2012 Accepting new patients
Nemours New Jersey Physician Practice, P.C. CurrentSince Dec 9, 2017 Accepting new patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince May 12, 2010 Accepting new patients
SCHC Pediatric Associates, LLC Past Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1023202611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 GATEWAY DR",
            "address_2": "APARTMENT A1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191456002",
            "telephone_number": "302-252-8288",
            "fax_number": "302-651-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD",
            "address_2": "DEPARTMENT OF RADIOLOGY, A.I DUPONT CHILDREN'S HOSPITAL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-4664",
            "fax_number": "302-651-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDULA",
        "first_name": "VINAY",
        "middle_name": "VARDHAN REDDY",
        "name_prefix": "Dr.",
        "credential": "MBBS,FRCR, MRCP, DCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "DE",
            "license": "C7-0003672",
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PA",
            "license": "MD433905",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "DE",
            "license": "C1-0008916",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PA",
            "license": "MT192173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.