Active NPI
Dinesh Vyas, MD
- Surgery Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301099055
- Practice address
- 3133 W March LN Ste 1040B
Stockton, CA 95219-2360 - Phone
- (314) 260-7609
- Fax
- (517) 267-2462
- NPI assigned
- May 15, 2007
- Last updated
- Jan 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 57.011768 | OH | |
| Surgery Physician | 208600000X | 2009006855 | MO | |
| Surgery Physician | 208600000X | 4301099055 | MI | Primary |
Addresses
Primary practice location
3133 W March LN Ste 1040B
Stockton, CA 95219-2360
Mailing address
9717 Ruddy Duck Way
Elk Grove, CA 95757-8155
Phone (314) 260-7609
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528274503 | Medicaid | MI | |
| 9810335 | Other | MO | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3133 W March LN
Suite 1040B
Stockton, CA 95219-2360
Phone (314) 260-7609
9717 Ruddy Duck Way
Elk Grove, CA 95757-8155
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 24 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.011768 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| MV Surgical Associates LLC | Surgery | Current | Accepting new patients |
| Vyas Medical Corp | Surgery | Current | Accepting new patients |
| County of San Joaquin | Past | Accepting new patients | |
| Dameron Hospital Association | Past | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
8715 Center Pkwy
Sacramento, CA 95823
Phone (209) 565-1691
3133 W March Ln
Ste 1040B
Stockton, CA 95219
Phone (314) 260-7609
3535 S Jefferson Ave
Ste 2
Saint Louis, MO 63118
Phone (314) 577-5778
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dinesh.vyas.2@8236.direct.athenahealth.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.
-
- Surgery Physician
- Stockton, CA
- NPI 1851608798
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
- Surgery Physician
- Sacramento, CA
- NPI 1952082729
-
dba San Joaquin County Clinic Manteca
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1275605180
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1528274503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9717 RUDDY DUCK WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957578155",
"telephone_number": "314-260-7609",
"fax_number": "314-260-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 W MARCH LN STE 1040B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192360",
"telephone_number": "314-260-7609",
"fax_number": "517-267-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYAS",
"first_name": "DINESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "57.011768",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2009006855",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301099055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528274503",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9810335",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.