Bhavani Durga Vietla, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06986200 Issued in NJ

Practice address

2864 Route 27
Suite D
North Brunswick, NJ 08902-5010

Phone

(732) 297-4272

Fax

(732) 297-3785

NPI assigned

Jun 4, 2006

Sex

Female

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 3

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grace Healthcare Services LLC Hospice, Edison, NJ, CCN 311563
• Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
• Parker at Somerset, Inc Nursing home, Somerset, NJ, CCN 315253

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment Care Compare group NPD
• Rutgers Health-RWJ Pediatric Critical Care

  • Family Medicine Physician
  • New Brunswick, NJ
  • NPI 1780766527
  Medicare reassignment
• Senacare, LLC

  • Internal Medicine Physician
  • Mullica Hill, NJ
  • NPI 1104447127
  Medicare reassignment
• V Care Health Associates, LLC

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1245563758

  Internal Medicine

  NPD (past) Authorized official
• Rutgers Health-RWJ Pediatric Critical Care

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • New Brunswick, NJ
  • NPI 1346322732
  NPD
• Saint Peter'S University Hospital

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1376079590
  NPD
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grace Healthcare Services LLC

  • Community Based Hospice Care Agency
  • Edison, NJ
  • NPI 1538185830
  Care Compare affiliation
• Parker at Somerset Inc

  • Skilled Nursing Facility
  • Somerset, NJ
  • NPI 1063819811

  Nursing home

  Care Compare affiliation
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  Care Compare affiliation

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1831137215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WINDMILL CT",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363146",
            "telephone_number": "732-297-4272",
            "fax_number": "732-297-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 ROUTE 27",
            "address_2": "SUITE D",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025010",
            "telephone_number": "732-297-4272",
            "fax_number": "732-297-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETLA",
        "first_name": "BHAVANI",
        "middle_name": "DURGA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06986200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01130911",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006734",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01008431",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.

Verify at the official NPI Registry.