Active NPI
Vijayasree Paleru, M.D.
- Cardiovascular Disease Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036155415
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036155415 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Indiana University Health, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Mason Hospital District | Current | Accepting new patients | |
| Mason Hospital District | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Associated Internists of Tucson, PLLC | Past | Accepting new patients | |
| Inpatient Medical Consultants PLLC | Past | 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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Critical Access Hospital
- Havana, IL
- NPI 1902849649
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1376586719
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Cardiovascular Disease
-
- Critical Access Hospital
- Havana, IL
- NPI 1710181797
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1558318345
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1326073800
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Greenwood, IN
- NPI 1467693135
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
-
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.