NPIMap

Individual provider Active NPI

Viren S Vasudeva, MD

  • Neurological Surgery Physician
  • Athens, GA
National Provider Identifier
1386930170
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
81240 Issued in GA
Practice address
2142 W Broad St, BLDG 100, Ste 200
Athens, GA 30606-3509
Phone
(706) 548-6881
Fax
(706) 546-0821
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 81240 GA Primary

Addresses

Primary practice location

2142 W Broad St, BLDG 100, Ste 200
Athens, GA 30606-3509

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions
Direct Messaging Address vvasudeva2018371@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180928001596 GA Practitioner - Neurosurgery 3870818073 Reassigns benefits to 1 organization
I20211102001269 PA Practitioner - Neurosurgery 3870818073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

2142 W Broad St
BLDG 100 Suite 200
Athens, GA 30606-3509
Phone (706) 548-6881

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion126
Laminectomy or laminotomy (partial removal of spine bones)46
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81240GAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, Inc Current Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Oct 1, 2021 Accepting new patients
St. Mary's Medical Group, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
St. Mary's Medical Group, Inc. Neurological Surgery CurrentSince Jan 1, 2020 Accepting new patients
Brigham & Womens Physicians Organization Inc Neurological Surgery PastSince May 30, 2015 Accepting new patients

Locations

2142 W Broad St
Bldg 200
Athens, GA 30606
Phone (706) 548-6881

2142 W Broad St
Bldg 100
Athens, GA 30606
Phone (706) 548-6881

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

1061 Dowdy Rd
Ste 103
Athens, GA 30606
Phone (706) 543-9222

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

Interoperability endpoints

  • Direct secure messaging: vvasudeva2018371@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1386930170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 W BROAD ST, BLDG 100, STE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063509",
            "telephone_number": "706-548-6881",
            "fax_number": "706-546-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASUDEVA",
        "first_name": "VIREN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "81240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vvasudeva2018371@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2142 W Broad St, Bldg 100, Ste 200",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306063509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.