Vandana Vedula, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301079152 Issued in MI

Practice address

1201 South Dr Ste 352
Mt Pleasant, MI 48858-3255

Phone

(989) 779-5277

Fax

(989) 779-5278

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Gastroenterology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sierra Vista Regional Health Center Medical Group LLCGroup PAC ID 3779732854, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
• Benson Hospital Hospital, Benson, AZ, CCN 031301
• Copper Queen Community Hospital Hospital, Bisbee, AZ, CCN 031312

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vandana.vedula.1@19231.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.

• Sierra Vista Regional Health Center Medical Group LLC

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1043575483
  Medicare reassignment Care Compare group NPD
• Cochise Oncology LLC

  • Radiation Oncology Physician
  • Sierra Vista, AZ
  • NPI 1013954858
  Medicare reassignment NPD
• Cochise Medical Oncology, LLC

  • Specialist
  • Sierra Vista, AZ
  • NPI 1245663319
  NPD (past)

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

• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Care Compare affiliation
• Bisbee Hospital Association

  • Critical Access Hospital
  • Bisbee, AZ
  • NPI 1518968767
  Care Compare affiliation
• RCHP-Sierra Vista Inc

  • Rural Health Clinic/Center
  • Sonoita, AZ
  • NPI 1013160290

  Hospital

  Care Compare affiliation
• RCHP-Sierra Vista Inc

  • General Acute Care Hospital
  • Sierra Vista, AZ
  • NPI 1194766543
  Care Compare affiliation
• RCHP-Sierra Vista Inc

  • Rural Health Clinic/Center
  • Tombstone, AZ
  • NPI 1508010471

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1922059153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOUTH DR STE 352",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583255",
            "telephone_number": "989-779-5277",
            "fax_number": "989-779-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOUTH DR STE 352",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583255",
            "telephone_number": "989-779-5277",
            "fax_number": "989-779-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDULA",
        "first_name": "VANDANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301079152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4622662",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Suzanne Vanwienen
• Ashok K Vashishta, MD
• Nisha Vashishta, MD
• Vidyasagar Reddy Vatte, RPT
• Jayla M Vautrin
• Mary Edith Vens Anderson
• Hunter Verdon
• Alexander Vick, ATC
• Rachel Lynn Vick, PTA
• Vie Therapy LLC

• Gastroenterology Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.