Individual provider Active NPI

Venkatesan Dyanesh Vidi, M.D., M.P.H.

  • Interventional Cardiology Physician
  • Bedford, TX
National Provider Identifier
1962673392
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
273680 Issued in NY
Practice address
1305 Airport Fwy Ste 424
Bedford, TX 76021-6608
Phone
(817) 510-1060
NPI assigned
Mar 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 273680 NY
Cardiovascular Disease Physician 207RC0000X 273680 NY
Interventional Cardiology Physician 207RI0011X 273680 NY Primary

Addresses

Primary practice location

1305 Airport Fwy Ste 424
Bedford, TX 76021-6608

Mailing address

1615 Precinct Line Rd Ste 103
Hurst, TX 76054-3345
Phone (181) 771-6014

Other identifiers 2

IdentifierTypeStateIssuer
441463OtherTXMEDICARE PTAN
3520546MedicaidTX

Other names 1

  • Venkatesan Vidi Seetharamier Dyanesh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151009001703 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 8325185168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1305 Airport Frwy
Suite 424
Bedford, TX 76021-6608

1305 Airport Fwy
Suite 424
Bedford, TX 76021-6608

1305 Airport Fwy 424
Bedford, TX 76021-6608
Phone (817) 510-1060

Hospital & facility affiliations

  • Texas Health Harris Methodist Hurst-Euless-Bedford Hospital, Bedford, TX, CCN 450639
  • Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273680NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Venkatesan D. Vidi, MD PLLC Interventional Cardiology CurrentSince Oct 1, 2015 Accepting new patients

Locations

1305 Airport Fwy
Ste 424
Bedford, TX 76021
Phone (817) 510-1060

1305 Airport Fwy
Ste 421
Bedford, TX 76021
Phone (817) 510-1060

9800 N Beach St
Ste 500
Fort Worth, TX 76244
Phone (817) 647-9801

Interoperability endpoints

  • Direct secure messaging: venkatesan.vidi.p1@direct.m-cccc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest May 14, 2018
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest May 14, 2018
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1962673392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PRECINCT LINE RD STE 103",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543345",
            "telephone_number": "181-771-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 424",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216608",
            "telephone_number": "817-510-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDI",
        "first_name": "VENKATESAN",
        "middle_name": "DYANESH",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "273680",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "273680",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "273680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "441463",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3520546",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENKATESAN",
            "last_name": "VIDI SEETHARAMIER DYANESH",
            "credential": "M.D., M.P.H.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.