NPIMap

Individual provider Active NPI

Vikram Podduturu, MD

  • Physical Medicine & Rehabilitation Physician
  • Chico, CA
National Provider Identifier
1861584294
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A108475 Issued in CA
Practice address
340 W East Ave
Chico, CA 95926-7238
Phone
(530) 332-3277
NPI assigned
Sep 30, 2006
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A108475 CA Primary
Physical Medicine & Rehabilitation Physician 208100000X 10251 ND
Neurology Physician 2084N0400X A108475 CA

Addresses

Primary practice location

340 W East Ave
Chico, CA 95926-7238

Mailing address

340 W East Ave
Chico, CA 95926-7238
Phone (530) 332-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526001697 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 0446251094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

340 W E Ave
Chico, CA 95926-7238
Phone (530) 332-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108475CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince May 2, 2016 Accepting new patients
Enloe Medical Center Physical Medicine & Rehabilitation CurrentSince May 2, 2016 Accepting new patients
Altru Health System Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

340 W East Ave
Chico, CA 95926
Phone (530) 332-6138

Interoperability endpoints

  • Direct secure messaging: vpodduturu15395@enloedirect.org

Organizations & group practices 5

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 7

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1861584294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267238",
            "telephone_number": "530-332-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267238",
            "telephone_number": "530-332-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODDUTURU",
        "first_name": "VIKRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A108475",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ND",
            "license": "10251",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A108475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.