Active NPI
Vidya Kollu, M.D.
- Hematology & Oncology Physician
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 69007
- Practice address
- 2116 Craig Rd
Eau Claire, WI 54701-6149 - Phone
- (715) 858-4500
- NPI assigned
- Feb 19, 2016
- Last updated
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q095555 | Medicaid | TN | |
| 1710346671 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL, TN, TX, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- Centracare- Rice Memorial Hospital
- Centracare - Redwood
- Centracare - Benson
- Leconte Medical Center
- Fort Loudoun Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 69007 | WI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carris Health LLC | Hematology & Oncology | Current | Accepting new patients |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Carris Health LLC | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Internal Medicine | Current | Accepting new patients |
| Thompson Oncology Group | Hematology & Oncology | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Internal Medicine | Current | Accepting new patients |
| Centracare Clinic Southwest LLC | Current | 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
- vkollu315925@direct.gundersenhealth.org
- vkollu876269@direct.centracare.com
- 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.
-
dba CentraCare - Rice Memorial Hospital
- Emergency Medicine Physician
- Willmar, MN
- NPI 1134632680
Hematology & Oncology
-
dba DBA Covenant Health Oncology Group
- Hematology & Oncology Physician
- Knoxville, TN
- NPI 1619975737
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1427684612
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1912664889
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CentraCare - Redwood
- Critical Access Hospital
- Redwood Falls, MN
- NPI 1194206748
-
dba CentraCare - Rice Memorial Hospital
- Infusion Therapy Clinic/Center
- Willmar, MN
- NPI 1124657150
Hospital
-
dba CentraCare - Rice Memorial Hospital
- General Acute Care Hospital
- Willmar, MN
- NPI 1407367030
-
- Critical Access Hospital
- Benson, MN
- NPI 1326757154
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
-
- General Acute Care Hospital
- Sevierville, TN
- NPI 1528052578
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.