Active NPI
Vijay Devireddy, M.D.
- Internal Medicine Physician
- Los Banos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A171844
- Practice address
- 311 W I St
Los Banos, CA 93635-3479 - Phone
- (209) 826-2222
- NPI assigned
- Jun 30, 2015
- Last updated
- Mar 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A171844 | CA | Primary |
Addresses
Primary practice location
311 W I St
Los Banos, CA 93635-3479
Mailing address
311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-2222
Other practice location 1
311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-2222
Other practice location 2
5306 Hilltop Rd
Castro Valley, CA 94546
Phone (510) 205-3341
Other practice location 3
5855 Silver Creek Valley Rd
San Jose, CA 95138-1059
Phone (408) 363-3000
Other practice location 4
1549 Golden Gate Ave
Dos Palos, CA 93620-2329
Phone (209) 392-0022
Other practice location 5
400 W I St
Los Banos, CA 93635-3459
Phone (209) 827-9999
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-6444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171844 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Gould Medical Foundation | Past | Accepting new patients | |
| KD Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Karthikeya Devireddy MD Inc | Internal Medicine | Past | Accepting new patients |
| Dos Palos Apex Health Center Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- vijay.devireddy.1@3550.direct.athenahealth.com
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.
-
dba apex medical group inc
- Rural Health Clinic/Center
- Los Banos, CA
- NPI 1518089507
Internal Medicine
-
dba Padres Medical Imaging,Inc.
- Family Medicine Physician
- Los Banos, CA
- NPI 1457522567
Internal Medicine
-
- Rural Health Clinic/Center
- Dos Palos, CA
- NPI 1831623453
-
dba Dale Road Care Center
- Family Medicine Physician
- Modesto, CA
- NPI 1326093360
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
-
dba Memorial Hospital Los Banos
- General Acute Care Hospital
- Los Banos, CA
- NPI 1366896300
-
dba Sutter Care at Home
- Home Health Agency
- Salida, CA
- NPI 1972876506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1407239148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353479",
"telephone_number": "209-826-2222",
"fax_number": "209-826-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353479",
"telephone_number": "209-826-2222"
}
],
"practiceLocations": [
{
"address_1": "311 W I St",
"address_purpose": "LOCATION",
"city": "Los Banos",
"state": "CA",
"postal_code": "936353479",
"country_code": "US",
"telephone_number": "209-826-2222",
"fax_number": "209-826-2599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5306 Hilltop Rd",
"address_purpose": "LOCATION",
"city": "Castro Valley",
"state": "CA",
"postal_code": "94546",
"country_code": "US",
"telephone_number": "510-205-3341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5855 Silver Creek Valley Rd",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951381059",
"country_code": "US",
"telephone_number": "408-363-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1549 Golden Gate Ave",
"address_purpose": "LOCATION",
"city": "Dos Palos",
"state": "CA",
"postal_code": "936202329",
"country_code": "US",
"telephone_number": "209-392-0022",
"fax_number": "209-392-0011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W I St",
"address_purpose": "LOCATION",
"city": "Los Banos",
"state": "CA",
"postal_code": "936353459",
"country_code": "US",
"telephone_number": "209-827-9999",
"fax_number": "209-827-9998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVIREDDY",
"first_name": "VIJAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2025-03-18",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A171844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.