Individual provider Active NPI

Vijay Pavuluri, D.P.M

  • Podiatrist
  • Dickson, TN
National Provider Identifier
1871532333
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM407 Issued in TN
Practice address
214 Skyline Cir
Dickson, TN 37055-2561
Phone
(615) 441-0002
Fax
(615) 446-2827
NPI assigned
Jun 6, 2006
Last updated
Aug 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM407 TN Primary

Addresses

Primary practice location

214 Skyline Cir
Dickson, TN 37055-2561

Mailing address

214 Skyline Cir
Dickson, TN 37055-2561
Phone (615) 441-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000321 TN Practitioner - Podiatry 9234246752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 Skyline Cir
Dickson, TN 37055-2561
Phone (615) 441-0002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Podiatrists of Tennessee Podiatrist CurrentSince Jan 1, 1994 Accepting new patients
Associated Podiatrists of Tennessee CurrentSince Jan 1, 1994 Accepting new patients

Locations

100 Medical Center Ct
Clarksville, TN 37043
Phone (931) 553-0634

214 Skyline Cir
Dickson, TN 37055
Phone (615) 441-0002

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1871532333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SKYLINE CIR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552561",
            "telephone_number": "615-441-0002",
            "fax_number": "615-446-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SKYLINE CIR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552561",
            "telephone_number": "615-441-0002",
            "fax_number": "615-446-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVULURI",
        "first_name": "VIJAY",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.