Vijayasekhar Reddy Tatagari, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C1-0004573 Issued in DE

Practice address

31 Gooden Ave
Dover, DE 19904-4143

Phone

(302) 674-9141

Fax

(302) 674-5907

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bayhealth Medical Center, Inc.

  • Emergency Medicine Physician
  • Dover, DE
  • NPI 1679072144
  Medicare reassignment NPD
• Christiana Care Health Services Inc

  • Hospitalist Physician
  • Newark, DE
  • NPI 1245474329
  Medicare reassignment

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1710079942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GOODEN AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044143",
            "telephone_number": "302-674-9141",
            "fax_number": "302-674-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GOODEN AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044143",
            "telephone_number": "302-674-9141",
            "fax_number": "302-674-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATAGARI",
        "first_name": "VIJAYASEKHAR",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0004573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001085802",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE DE",
            "identifier": "46823",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tarburton, RD, LDN
• Ma Czarina Targa, PT
• Shannon Marie Tarolli, MA
• Marc C Tarsillo, MD
• Dawn R Tartaglione, D.O.
• Ravikiran Kumar Tatikonda, R.PH
• Ericka Taylor-Daniel, MSN,APRN,PMHNP-BC,
• Barbara Taylor, APRN
• Jessica A Taylor, APRN
• Jessica O'Kane Taylor, PHARMD

• Internal Medicine Physician in Dover, DE
• Providers in Dover, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.