Vijay Devireddy, M.D.
Individual provider Active NPI Internal Medicine Physician · Los Banos, CA
NPI 1407239148 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1407239148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A171844 (CA)
- Practice address
- 311 W I St
Los Banos, CA 93635-3479 - Phone
- (209) 826-2222
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- KD Medical Group Inc
Karthikeya Devireddy MD Inc
Practice addresses (Care Compare)
311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-6444
Hospital & facility affiliations
- Covenant Care at Home
- Careone Home Health and Hospice, Inc
- Sutter Care at Home
- Memorial Hospital Los Banos
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260413000946 | CA | Practitioner - Internal Medicine | 0547652166 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171844 | CA | MD | Internal Medicine Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Gould Medical Foundation | Past | Accepting new patients | |
| Dos Palos Apex Health Center Inc | Past | Accepting new patients | |
| Karthikeya Devireddy MD Inc | Internal Medicine | Past | Accepting new patients |
| KD Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- vijay.devireddy.1@3550.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A171844 | CA | Yes |
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
Other providers in Los Banos, CA
- Emily Delgadillo
- Valery O Delgado
- Dennis M. Cabangca
- Dental Hygiene Limited
- Karthikeya Devireddy
- DO and Huh DDS Inc
- DO and Huh, DDS Inc
- Rajwant Kaur Dosanjh
- Spencer Dowell
- Dr. Suzanne J White
All providers in Los Banos, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.