DR. VIDYA MANI MEDEPALLI MD
NPI 1043890775
Dermatology in Hackensack, NJ

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
20 PROSPECT AVE STE 702, HACKENSACK, NJ 07601(908) 359-8980 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2025, Aug 13, 2022, Jul 7, 2021 and 3 more (6 updates tracked since 2021).

About Dr. Vidya Mani Medepalli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIDYA MANI MEDEPALLI MD (NPI 1043890775) is an individual dermatology provider in Hackensack, New Jersey, licensed in New Jersey (25MA12744700) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2021).

NPPES Registry Identity

NPI1043890775
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. VIDYA MANI MEDEPALLICredential: MD
Location Address20 PROSPECT AVE STE 702Hackensack, NJ 07601-1974
Mailing Address20 Prospect Ave Ste 702Hackensack, NJ 07601-1974 · (908) 359-8980
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateJuly 4, 20256 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
NPI 1043890775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NJ · 25MA12744700
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 25MA12744700 (NJ)
20 PROSPECT AVE STE 702, Hackensack, NJ 07601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vidya Mani Medepalli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739586983
PECOS Enrollment IDI20250630002933
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Physician Assistant
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Dermatology (MOHS-Micrographic Surgery)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Dermatology
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Dermatology (MOHS-Micrographic Surgery)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Physician Assistant
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Dermatology (MOHS-Micrographic Surgery)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidya Medepalli's NPI number?

The NPI number for Vidya Medepalli is 1043890775. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Vidya Medepalli located?

Vidya Medepalli practices at 20 Prospect Ave Ste 702, Hackensack, NJ 07601. The listed phone number is (908) 359-8980.

What is Vidya Medepalli's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Vidya Medepalli enrolled in Medicare?

Yes. Vidya Medepalli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vidya Medepalli accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Vidya Medepalli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vidya Medepalli was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.