Individual provider Active NPI

Vijayasree Paleru, M.D.

  • Cardiovascular Disease Physician
  • Peoria, IL
National Provider Identifier
1043417819
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036155415 Issued in IL
Practice address
5405 N Knoxville Ave
Peoria, IL 61614-5016
Phone
(309) 691-4410
Fax
(309) 692-4730
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 036155415 IL
Cardiovascular Disease Physician 207RC0000X 036155415 IL Primary
Cardiovascular Disease Physician 207RC0000X 01068269A IN

Addresses

Primary practice location

5405 N Knoxville Ave
Peoria, IL 61614-5016

Mailing address

5405 N Knoxville Ave
Peoria, IL 61614-5016
Phone (309) 691-4410

Other practice location 1

5330 E Stop 11 Rd
Indianapolis, IN 46237-6345
Phone (317) 893-1900

Other names 1

  • Vijayasree Kudithipudi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100812000897 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Internal Medicine 2567486178 Reassigns benefits to 3 organizations
I20210218002046 IL Practitioner - Cardiovascular Disease (Cardiology) 2567486178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

5405 N Knoxville Ave
Peoria, IL 61614-5065
Phone (309) 691-4410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036155415ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Feb 15, 2021 Accepting new patients
Indiana University Health, Inc Cardiovascular Disease CurrentSince Nov 10, 2018 Accepting new patients
Mason Hospital District CurrentSince Sep 20, 2022 Accepting new patients
Mason Hospital District CurrentSince Sep 20, 2022 Accepting new patients
University Medical Diagnostic Associates, Inc. Cardiovascular Disease CurrentSince Aug 31, 2020 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 1, 2018 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Associated Internists of Tucson, PLLC Past Accepting new patients
Inpatient Medical Consultants PLLC PastSince Nov 10, 2010 Accepting new patients
Major Hospital Past Accepting new patients
St. Francis Medical Group, LLC Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

2242 Reliable Pkwy
Chicago, IL 60686

7301 Solutions Ctr
Chicago, IL 60677

615 N Promenade St
Havana, IL 62644
Phone (309) 543-8510

3422 Court St
#A
Pekin, IL 61554
Phone (309) 477-6000

3422 Court St
#B
Pekin, IL 61554

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

5405 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-4410

13100 E 136th St
Fishers, IN 46037
Phone (317) 678-2000

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1043417819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145016",
            "telephone_number": "309-691-4410",
            "fax_number": "309-692-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145016",
            "telephone_number": "309-691-4410",
            "fax_number": "309-692-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 E Stop 11 Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376345",
            "country_code": "US",
            "telephone_number": "317-893-1900",
            "fax_number": "317-893-1685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALERU",
        "first_name": "VIJAYASREE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IL",
            "license": "036155415",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036155415",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01068269A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAYASREE",
            "last_name": "KUDITHIPUDI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.