Active NPI
Indira Vemuri, MD
- Pediatrics Physician
- Morgan Hill, CA
National Provider Identifier
1508938358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A80970
- Practice address
- 17705 Hale Ave Ste I1
Morgan Hill, CA 95037-4348 - Phone
- (408) 776-9560
- Fax
- (408) 778-7857
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A80970 | CA | Primary |
Addresses
Primary practice location
17705 Hale Ave Ste I1
Morgan Hill, CA 95037-4348
Mailing address
17705 Hale Ave Ste: I-1
Morgan Hill, CA 95037-4348
Phone (408) 776-9560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A809700 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80970 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Camino Hospital | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients | |
| Dr. Indira Vemuri, P.C. | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIJHAA/Endpoint/AIJHAA
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Morgan Hill, CA
- NPI 1619123379
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1508938358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17705 HALE AVE STE: I-1",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950374348",
"telephone_number": "408-776-9560",
"fax_number": "408-778-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17705 HALE AVE STE I1",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950374348",
"telephone_number": "408-776-9560",
"fax_number": "408-778-7857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEMURI",
"first_name": "INDIRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A80970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A809700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.