Individual provider Active NPI

Arunpriya Vadivelu, MD

  • Internal Medicine Physician
  • Lewisville, TX
National Provider Identifier
1285695510
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q8802 Issued in TX
Practice address
118 Lynn Ave Ste 502
Lewisville, TX 75057-3709
Phone
(469) 909-1931
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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 Q8802 TX Primary

Addresses

Primary practice location

118 Lynn Ave Ste 502
Lewisville, TX 75057-3709

Mailing address

118 Lynn Ave Ste 502
Lewisville, TX 75057-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181206000463 TX Practitioner - Internal Medicine 4486689221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 Lynn Ave
Suite 502
Lewisville, TX 75057-3719
Phone (732) 589-3271

Hospital & facility affiliations

  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8802TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Primary Care and Internal Medicine PLLC Internal Medicine CurrentSince Sep 16, 2018 Accepting new patients

Locations

118 Lynn Ave
Ste 502
Lewisville, TX 75057
Phone (469) 909-1931

Interoperability endpoints

  • Direct secure messaging: arunpriya.vadivelu@summitpcim.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEGBD/Endpoint/AEEGBD

Organizations & group practices 1

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 1

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1285695510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LYNN AVE STE 502",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LYNN AVE STE 502",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573709",
            "telephone_number": "469-909-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADIVELU",
        "first_name": "ARUNPRIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q8802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.