Individual provider Active NPI

Vikram Reddy Vadyala, MD

  • Internal Medicine Physician
  • Midland, TX
National Provider Identifier
1497985188
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P2073 Issued in TX
Practice address
2002 N Midland Dr
Midland, TX 79707-5598
Phone
(432) 686-9999
Fax
(432) 685-1700
NPI assigned
Jul 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 P2073 TX Primary

Addresses

Primary practice location

2002 N Midland Dr
Midland, TX 79707-5598

Mailing address

2002 N Midland Dr
Midland, TX 79707-5598
Phone (432) 686-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130925000816 TX Practitioner - Internal Medicine 8921242322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2002 N Midland Dr
Midland, TX 79707-5598
Phone (432) 686-9999

Hospital & facility affiliations

  • Midland Health at Home Home health agency, Midland, TX, CCN 743175
  • Gentiva Hospice, Midland, TX, CCN 971637
  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133
  • Encompass Health Rehabilitation Hospital of Midlan Inpatient rehabilitation facility, Midland, TX, CCN 453057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2073TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vikram Vadyala PLLC Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Recovery and Goals PLLC CurrentSince Nov 1, 2014 Accepting new patients

Locations

2002 N Midland Dr
Midland, TX 79707
Phone (432) 614-0350

2817 W Loop 250 N
Ste A
Midland, TX 79705
Phone (432) 218-8054

1800 Heritage Blvd
Midland, TX 79707
Phone (432) 520-1600

Interoperability endpoints

  • Direct secure messaging: vikramvadyala@vvpllc.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/16715/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vikram.vadyala.1@16715.direct.athenahealth.com

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.

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1497985188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075598",
            "telephone_number": "432-686-9999",
            "fax_number": "432-685-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075598",
            "telephone_number": "432-686-9999",
            "fax_number": "432-685-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADYALA",
        "first_name": "VIKRAM",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P2073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.