Vimala Sravanthi Vajjala, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

52144 Issued in AZ

Practice address

8330 E Hartford Dr
Scottsdale, AZ 85255-7205

Phone

(480) 745-3547

NPI assigned

Feb 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, AZ2 enrollments

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 2

Specialty

Neurology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians

The Insomnia and Sleep Institute of Arizona LLCGroup PAC ID 3476707837, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DADHAA
• Direct secure messaging: vimala.vajjala.1@22601.direct.athenahealth.com

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.

• Banner - University Physician Specialists LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1437529245
  Medicare reassignment Care Compare group NPD
• The Insomnia and Sleep Institute of Arizona LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1659633469
  Medicare reassignment Care Compare group NPD
• Hawaii Pacific Neuroscience LLC

  • Neurology Physician
  • Honolulu, HI
  • NPI 1043442908
  Medicare reassignment NPD
• Banner - University Physician Specialists LLC

  • Multi-Specialty Clinic/Center
  • Maricopa, AZ
  • NPI 1063887727
  NPD
• Banner - University Physician Specialists LLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1164255865
  NPD
• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870
  Care Compare affiliation

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1376902536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 E HARTFORD DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557205",
            "telephone_number": "480-745-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 E HARTFORD DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557205",
            "telephone_number": "480-745-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAJJALA",
        "first_name": "VIMALA",
        "middle_name": "SRAVANTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "AZ",
            "license": "52144",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "52144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric C Vacco, PAC
• Mona Vahidi Rad, MD
• Ilyas Vahora, M.D.
• Pauline Vaivao, LPN
• Sriharsha Vajjala, MD
• Paul Raymund Valbuena, MD
• Kristen Valderhaug, MD
• Robert Valdes, PTA
• Beth Gaelene Valdez, LPC
• Dominique Valdez

• Neurology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.

Verify at the official NPI Registry.