Individual provider Active NPI

Vasudeva G. Iyer, M.D.

  • Clinical Neurophysiology Physician
  • Louisville, KY
National Provider Identifier
1467450601
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
22671 Issued in KY
Practice address
2505 Bush Ridge Dr
Suite a
Louisville, KY 40245-5885
Phone
(502) 708-1338
Fax
(502) 708-1339
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 22671 KY Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 22671 KY

Addresses

Primary practice location

2505 Bush Ridge Dr
Suite a
Louisville, KY 40245-5885

Mailing address

2505 Bush Ridge Dr
Suite a
Louisville, KY 40245-5885
Phone (502) 708-1338

Other identifiers 1

IdentifierTypeStateIssuer
64226715MedicaidKY

Other names 1

  • Dr. Vasudeva G Ayyar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20081007000816 KY Practitioner - Neurology 2860560513 Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2505 Bush Ridge Dr
Suite a
Louisville, KY 40245-5885
Phone (502) 708-1338

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22671KYMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurologists PSC Past Accepting new patients
Iyer Neurology PLLC Clinical Neurophysiology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1467450601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 BUSH RIDGE DR",
            "address_2": "SUITE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455885",
            "telephone_number": "502-708-1338",
            "fax_number": "502-708-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 BUSH RIDGE DR",
            "address_2": "SUITE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455885",
            "telephone_number": "502-708-1338",
            "fax_number": "502-708-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "VASUDEVA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "KY",
            "license": "22671",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "KY",
            "license": "22671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64226715",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VASUDEVA",
            "last_name": "AYYAR",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "MD, DM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.