Individual provider Active NPI

Vakula Devi Atthota, M.D.,

  • Infectious Disease Physician
  • Vineland, NJ
National Provider Identifier
1821276015
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA08958800 Issued in NJ
Practice address
1450 E Chestnut Ave
BLDG 3 Suite a
Vineland, NJ 08361-8467
Phone
(856) 794-8700
Fax
(856) 794-2752
NPI assigned
Feb 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08958800 NJ
Infectious Disease Physician 207RI0200X 25MA08958800 NJ Primary

Addresses

Primary practice location

1450 E Chestnut Ave
BLDG 3 Suite a
Vineland, NJ 08361-8467

Mailing address

1450 E Chestnut Ave
BLDG 3 Suite a
Vineland, NJ 08361-8467
Phone (856) 794-8700

Other identifiers 1

IdentifierTypeStateIssuer
0279862MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20110818000200 NJ Practitioner - Internal MedicinePractitioner - Infectious Disease 2567631039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cumberland Internal MedicineGroup PAC ID 8426958331, 6 clinicians

Practice addresses (Care Compare)

1450 E Chestnut Ave
Suite 3a
Vineland, NJ 08361-8469
Phone (856) 794-8700

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: vakula.atthota@cim.directbygreenway.com

Organizations & group practices 1

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.

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": "1202601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1821276015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E CHESTNUT AVE",
            "address_2": "BLDG 3 SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618467",
            "telephone_number": "856-794-8700",
            "fax_number": "856-794-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E CHESTNUT AVE",
            "address_2": "BLDG 3 SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618467",
            "telephone_number": "856-794-8700",
            "fax_number": "856-794-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTHOTA",
        "first_name": "VAKULA",
        "middle_name": "DEVI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-10",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08958800",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA08958800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279862",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.