DR. VIDYA MANI MEDEPALLI MD
NPI 1043890775
Dermatology in Hackensack, NJ
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Vidya Medepalli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elmer, NJ 08318
- Reassigned Medicare billing, New Jersey enrollment
- 141 clinicians in this Medicare group
Dublin, GA 31021
- Reassigned Medicare billing, Georgia enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
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.
Which organizations bill Medicare for Vidya Medepalli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vidya Medepalli reassigns Medicare benefits to 2 organizations: Schweiger Dermatology, PC (Elmer, NJ) and Georgia Dermatology & Skin Cancer Center, LLC (Dublin, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vidya Medepalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vidya Medepalli accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health 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 15 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.
# Dr. Vidya Mani Medepalli, MD · NPI 1043890775
Dermatology physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since April 8, 2021.
## Identity
- **NPI:** 1043890775 (Entity type: Individual)
- **Enumerated:** April 8, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 25MA12744700 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20 PROSPECT AVE STE 702, Hackensack, NJ 07601-1974
- **Phone:** (908) 359-8980
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Schweiger Dermatology, PC (NPI 1104229392, Elmer, NJ); Georgia Dermatology & Skin Cancer Center, LLC (NPI 1063460459, Dublin, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** July 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043890775) · Data from the CMS NPPES public registry.