Active NPI
Vijaya Veena Bayya, M.D.
- Internal Medicine Physician
- Sparks, NV
National Provider Identifier
1093954760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12936
- Practice address
- 2345 E Prater Way
Suite 104
Sparks, NV 89434-9600 - Phone
- (775) 352-5300
- Fax
- (775) 356-5590
- NPI assigned
- Feb 19, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12936 | NV | Primary |
Addresses
Primary practice location
2345 E Prater Way
Suite 104
Sparks, NV 89434-9600
Mailing address
2345 E Prater Way
Suite 104
Sparks, NV 89434-9600
Phone (775) 352-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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 |
|---|---|---|---|
| 12936 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Holtzclaw MD PC Reno | Past | Accepting new patients | |
| Northern Nevada Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Sparks, NV
- NPI 1972751618
Internal Medicine
-
- Hospitalist Physician
- Reno, NV
- NPI 1255655023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1093954760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 E PRATER WAY",
"address_2": "SUITE 104",
"city": "SPARKS",
"state": "NV",
"postal_code": "894349600",
"telephone_number": "775-352-5300",
"fax_number": "775-356-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 E PRATER WAY",
"address_2": "SUITE 104",
"city": "SPARKS",
"state": "NV",
"postal_code": "894349600",
"telephone_number": "775-352-5300",
"fax_number": "775-356-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYYA",
"first_name": "VIJAYA",
"middle_name": "VEENA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "12936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.