Individual provider Active NPI

Vikram Udani, MD

  • Neurological Surgery Physician
  • San Diego, CA
National Provider Identifier
1093959108
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A104381 Issued in CA
Practice address
11199 Sorrento Valley Rd Ste 203
San Diego, CA 92121-1334
Phone
(619) 566-0640
Fax
(619) 566-0620
NPI assigned
Apr 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A104381 CA Primary

Addresses

Primary practice location

11199 Sorrento Valley Rd Ste 203
San Diego, CA 92121-1334

Mailing address

PO Box 2381
Rancho Santa Fe, CA 92067-2381
Phone (858) 598-5291

Other practice location 1

5395 Ruffin Rd Ste 102
San Diego, CA 92123-1338
Phone (858) 598-5291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120731000604 CA Practitioner - Neurosurgery 7810153145 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Stanford University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vikram Udani MD IncGroup PAC ID 3678825254, 3 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

11199 Sorrento Valley Rd
Suite 203
San Diego, CA 92121-1334
Phone (858) 598-5291

3590 Camino del Rio N
Suite 200
San Diego, CA 92108-1707
Phone (619) 810-1010

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion130
Laminectomy or laminotomy (partial removal of spine bones)62
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senta Clinic, Inc Neurological Surgery CurrentSince Jun 15, 2015 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 14, 2013 Accepting new patients
Curatio Neurosurgery Inc Neurological Surgery CurrentSince Nov 29, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Vikram Udani MD Inc Neurological Surgery CurrentSince Jun 17, 2015 Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

11199 Sorrento Valley Rd
Ste 203
San Diego, CA 92121
Phone (267) 266-6171

3590 Camino del Rio N
Ste 200
San Diego, CA 92108
Phone (619) 810-1010

6645 Alvarado Rd
#4000
San Diego, CA 92120
Phone (619) 229-3105

3590 Camino del Rio N
Ste 103
San Diego, CA 92108
Phone (619) 810-1000

5395 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 569-8959

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vudani28177@scrippshlth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGACCD/Endpoint/IGACCD
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5632fbae-577c-4a2c-bb09-322e166c2db1/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1093959108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2381",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920672381",
            "telephone_number": "858-598-5291",
            "fax_number": "858-598-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11199 SORRENTO VALLEY RD STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211334",
            "telephone_number": "619-566-0640",
            "fax_number": "619-566-0620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5395 Ruffin Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231338",
            "country_code": "US",
            "telephone_number": "858-598-5291",
            "fax_number": "858-598-5296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDANI",
        "first_name": "VIKRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A104381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.