Individual provider Active NPI

Vidya Kollu, M.D.

  • Hematology & Oncology Physician
  • Eau Claire, WI
National Provider Identifier
1710346671
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
69007 Issued in WI
Practice address
2116 Craig Rd
Eau Claire, WI 54701-6149
Phone
(715) 858-4500
NPI assigned
Feb 19, 2016
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V0278 TX
Internal Medicine Physician 207R00000X MD-43419 IA
Hematology & Oncology Physician 207RH0003X 69007 WI Primary
Hematology & Oncology Physician 207RH0003X V0278 TX
Hematology & Oncology Physician 207RH0003X 72374 TN

Addresses

Primary practice location

2116 Craig Rd
Eau Claire, WI 54701-6149

Mailing address

1345 W Central Park Ave
Davenport, IA 52804-1844
Phone (563) 421-1900

Other practice location 1

1345 W Central Park Ave
Davenport, IA 52804-1844
Phone (563) 421-1900

Other practice location 2

576 Fort Loudon Medical Center Dr Ste 203
Lenoir City, TN 37772-5676
Phone (865) 271-6095

Other practice location 3

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5200

Other practice location 4

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-5180

Other identifiers 2

IdentifierTypeStateIssuer
Q095555MedicaidTN
1710346671MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, TN, TX, MN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180508002041 WI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5395036503 Reassigns benefits to 1 organization
I20220919000871 IL Practitioner - Internal Medicine 5395036503 Reassigns benefits to 1 organization
I20241030000515 TN Practitioner - Medical Oncology 5395036503 Reassigns benefits to 1 organization
I20250115001096 TX Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5395036503 Reassigns benefits to 1 organization
I20250520002422 MN Practitioner - Hematology/Oncology 5395036503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carris Health LLCGroup PAC ID 7012274228, 40 clinicians
Thompson Oncology GroupGroup PAC ID 0941246771, 65 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

301 Becker Ave SW
Willmar, MN 56201-3302
Phone (320) 235-4543

576 Ft Loudoun Medical Ctr
Suite 203
Lenoir City, TN 37772-5676
Phone (865) 271-6095

701 Dellwood St S
Suite 1900
Cambridge, MN 55008-1920
Phone (763) 688-9527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69007WIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carris Health LLC Hematology & Oncology CurrentSince May 1, 2025 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince May 1, 2025 Accepting new patients
Carris Health LLC CurrentSince May 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Feb 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Thompson Oncology Group Hematology & Oncology CurrentSince Aug 21, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. Internal Medicine CurrentSince Apr 10, 2018 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince May 1, 2025 Accepting new patients

Locations

600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Dept 888078
Knoxville, TN 37995

576 Fort Loudon Medical Center Dr
Ste 203
Lenoir City, TN 37772
Phone (865) 271-6095

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: vkollu315925@direct.gundersenhealth.org
  • Direct secure messaging: vkollu876269@direct.centracare.com
  • Direct secure messaging: vkollumd252512@direct.froedtert.com

Organizations & group practices 10

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 6

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": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1710346671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W CENTRAL PARK AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041844",
            "telephone_number": "563-421-1900",
            "fax_number": "563-421-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 CRAIG RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016149",
            "telephone_number": "715-858-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 W Central Park Ave",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528041844",
            "country_code": "US",
            "telephone_number": "563-421-1900",
            "fax_number": "563-421-1809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 Fort Loudon Medical Center Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725676",
            "country_code": "US",
            "telephone_number": "865-271-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-5200",
            "fax_number": "915-215-8640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Illini Dr",
            "address_purpose": "LOCATION",
            "city": "Silvis",
            "state": "IL",
            "postal_code": "612821804",
            "country_code": "US",
            "telephone_number": "309-281-5180",
            "fax_number": "309-281-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLU",
        "first_name": "VIDYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V0278",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-43419",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "69007",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "V0278",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "72374",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q095555",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710346671",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.