Individual provider Active NPI

Vijay Devireddy, M.D.

  • Internal Medicine Physician
  • Los Banos, CA
National Provider Identifier
1407239148
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A171844 Issued in CA
Practice address
311 W I St
Los Banos, CA 93635-3479
Phone
(209) 826-2222
NPI assigned
Jun 30, 2015
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260413000946 CA Practitioner - Internal Medicine 0547652166 Reassigns benefits to 2 organizations

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
KD Medical Group IncGroup PAC ID 2860553468, 6 clinicians
Karthikeya Devireddy MD IncGroup PAC ID 3072566728, 10 clinicians

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

LicenseStateTypeSpecialty
A171844CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.