Individual provider Active NPI

Naga Jyothi Vulli, M.D.

  • Internal Medicine Physician
  • Allentown, PA
National Provider Identifier
1164686853
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD444513 Issued in PA
Practice address
1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104-2351
Phone
(610) 973-1410
Fax
(610) 973-1449
NPI assigned
Jul 11, 2008
Last updated
Aug 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD444513 PA Primary

Addresses

Primary practice location

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104-2351

Mailing address

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104-2351
Phone (610) 973-1410

Other identifiers 1

IdentifierTypeStateIssuer
102685334MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120319000591 PA Practitioner - Internal Medicine 0749440345

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD444513PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VRL Medical Practice PLLC Internal Medicine CurrentSince Nov 11, 2020 Accepting new patients
Elm Terrace Gardens Past Accepting new patients
640 Bethlehem Pike Operations LLC Past Accepting new patients
1425 Horsham SNF Operations LLC Past Accepting new patients

Locations

300 Welsh Rd
Ste 100
Horsham, PA 19044
Phone (267) 209-3410

1425 Horsham Rd
North Wales, PA 19454
Phone (215) 284-5398

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1164686853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD",
            "address_2": "STE 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD",
            "address_2": "STE 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VULLI",
        "first_name": "NAGA",
        "middle_name": "JYOTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD444513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102685334",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.