NPIMap

Individual provider Active NPI

Vijayalakshmi Mamedi, M.D.

  • Family Medicine Physician
  • Roanoke Rapids, NC
National Provider Identifier
1487608105
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2005-01715 Issued in NC
Practice address
2066 Hwy 125
Rural Health Group,
Roanoke Rapids, NC 27870
Phone
(252) 536-5000
NPI assigned
May 19, 2006
Last updated
Jun 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2005-01715 NC Primary

Addresses

Primary practice location

2066 Hwy 125
Rural Health Group,
Roanoke Rapids, NC 27870

Mailing address

2066 Hwy 125
Rural Health Group,
Roanoke Rapids, NC 27870-9346
Phone (252) 536-5000

Other names 1

  • Dr. Vijayalakshmi Andole Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000454 NC Practitioner - Family Practice 1759474398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Group IncGroup PAC ID 9739090226, shared by 19 NPIs, 65 clinicians

Practice addresses (Care Compare)

2066 NC Hwy 125
Roanoke Rapids, NC 27870-9436
Phone (252) 536-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. CurrentSince Sep 22, 2023 Accepting new patients
Rural Health Group, Inc. CurrentSince Sep 4, 2007 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. CurrentSince Sep 4, 2007 Accepting new patients
Rural Health Group, Inc. CurrentSince Sep 22, 2023 Accepting new patients
Rural Health Group, Inc. Past Accepting new patients

Locations

1096 E 10th St
Roanoke Rapids, NC 27870
Phone (252) 535-3516

1381 Medical Center Dr
Roanoke Rapids, NC 27870
Phone (252) 535-1414

2066 NC Highway 125
Roanoke Rapids, NC 27870
Phone (252) 536-5000

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

270 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-6816

Interoperability endpoints

  • Direct secure messaging: vijayalakshmi.mamedi@rhgnc.eclinicaldirectplus.com

Organizations & group practices 7

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 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1487608105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 HWY 125",
            "address_2": "RURAL HEALTH GROUP,",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278709346",
            "telephone_number": "252-536-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 HWY 125",
            "address_2": "RURAL HEALTH GROUP,",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27870",
            "telephone_number": "252-536-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMEDI",
        "first_name": "VIJAYALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2005-01715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAYALAKSHMI",
            "last_name": "ANDOLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.