Individual provider Active NPI

Ramya Smita Vedula, D.O.

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1851591622
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026MB08680700 Issued in NJ
Practice address
419 N Harrison St
Princeton, NJ 08540-3521
Phone
(609) 924-9300
Fax
(609) 430-9481
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 026MB08680700 NJ Primary

Addresses

Primary practice location

419 N Harrison St
Princeton, NJ 08540-3521

Mailing address

419 N Harrison St
Princeton, NJ 08540-3521
Phone (609) 924-9300

Other names 1

  • Ramya Smita Kota Former name

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
I20101124000234 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 4082800446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Rowan University School of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Princeton Medical Group,P.a.Group PAC ID 6406835305, 36 clinicians

Practice addresses (Care Compare)

419 N Harrison St
Princeton, NJ 08540-3594
Phone (609) 924-9300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026MB08680700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Medical Group,P.a. Internal Medicine CurrentSince Sep 2, 2014 Accepting new patients
Princeton Medical Group, P.a. PastSince Sep 2, 2014 Accepting new patients

Locations

2 Research Way
Monroe Township, NJ 08831
Phone (609) 356-7200

3 Liberty St
Plainsboro, NJ 08536
Phone (609) 924-9300

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

Interoperability endpoints

  • Direct secure messaging: ramya.vedula.p1@direct.princetonmedicalgrp.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 2

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1851591622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDULA",
        "first_name": "RAMYA",
        "middle_name": "SMITA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "026MB08680700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMYA",
            "last_name": "KOTA",
            "middle_name": "SMITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.