Vijaya K Tangella, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A45065 Issued in CA

Practice address

750 W Olive Ave
Suite 104
Merced, CA 95348-2436

Phone

(209) 384-3115

Fax

(209) 384-0878

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 MedicineAlso: Anesthesiology

Education

Other, 1980

Medicare assignment

May accept Medicare assignment

Group practices

Madhu K. Kris, M.D., Inc.Group PAC ID 5294779005, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97 of 100Reported as group

Quality

95.21

Improvement activities

40

Cost

84.14

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vijaya.tangella.1@29190.direct.athenahealth.com

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.

• Madhu K. Kris, M.D., Inc.

  • Specialist
  • Merced, CA
  • NPI 1114195229
  Medicare reassignment Care Compare group NPD
• Vijaya K. Tangella MD, Inc

  • Anesthesiology Physician
  • Merced, CA
  • NPI 1023256153
  Medicare reassignment Authorized official
• Dignity Health

  dba Mercy Medical Center Merced

  • General Acute Care Hospital
  • Merced, CA
  • NPI 1518018191
  NPD (past)
• Madhu K. Kris M.D.

  dba Merced Ambulatory Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Merced, CA
  • NPI 1497895361
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1902024623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W OLIVE AVE",
            "address_2": "SUITE 104",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-384-3115",
            "fax_number": "209-384-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W OLIVE AVE",
            "address_2": "SUITE 104",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-384-3115",
            "fax_number": "209-384-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGELLA",
        "first_name": "VIJAYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45065",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A45065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahar Taha, DDS
• Jenny Tai, OD
• Zohra Taiby
• Alyssa Talbot
• Jin Tang, MD
• Tanner Banks DDS Corporation
• Christian Tapia
• Yuritzi Tapia
• Tareq M El-Qousy M.D., Inc.
• Raif Tawakol, MD

• Specialist in Merced, CA
• Providers in Merced, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.