VIJAYASIMHA REDDY POTHULA MD
NPI 1083852248
Anesthesiology in Waterloo, IA

Q: What is Vijayasimha Pothula's NPI number?

The NPI number for Vijayasimha Pothula is 1083852248. It was assigned to this individual provider in the NPPES registry on January 27, 2009.

Q: What is Vijayasimha Pothula's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since January 27, 2009PECOS EnrolledAccepts Medicare Assignment

1825 LOGAN AVE, WATERLOO, IA 50703(319) 235-5386(319) 235-3074 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vijayasimha Reddy Pothula Md NPPES

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

VIJAYASIMHA REDDY POTHULA MD (NPI 1083852248) is an individual anesthesiology provider in Waterloo, Iowa, licensed in Iowa (40239) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1083852248

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameVIJAYASIMHA REDDY POTHULACredential: MD

Location Address1825 LOGAN AVEWaterloo, IA 50703-1916

Mailing Address4150 Kimball Ave, Po Box 2758Waterloo, IA 50701-9086 · (319) 235-5390 · Fax (319) 233-1630

Phone(319) 235-5386

Fax(319) 235-3074

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJanuary 27, 2009

Last NPPES UpdateJune 26, 2012

✔ NPI 1083852248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in IA · 40239

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1825 LOGAN AVE, Waterloo, IA 50703

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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

Vijayasimha Reddy Pothula 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 ID9234387465

PECOS Enrollment IDI20231025003758

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

1,095 services967 patients

Anesthesia for other procedure on eye 00140

Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.

118 services108 patients

Other Providers at the Same Location NPPES 20

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

DR. KEERAN GHANDIVEL MD

Anesthesiology

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3886

MS. AMANDA L. VERVAECKE A.R.N.P.

Nurse Practitioner

1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703

Black Hawk County (319) 235-3121

TAYLOR KRISTIN KLINE PA, RDN

Physician Assistant

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3941

ALLEN MEMORIAL HOSPITAL CORPORATION LAB

Clinical Medical Laboratory

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3941

ELVIS SABIC ARNP

Nurse Practitioner (Family)

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3941

DR. PRADEEP MANJANBAIL RAMESH MD

Internal Medicine

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3838

SUSAN VOONG PHARMD

Pharmacist

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3510

HANNAH LEIGH KELLEY LMSW

Social Worker (Clinical)

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (563) 271-7700

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 Vijayasimha Pothula's NPI number?

The NPI number for Vijayasimha Pothula is 1083852248. It was assigned to this individual provider in the NPPES registry on January 27, 2009.

Where is Vijayasimha Pothula located?

Vijayasimha Pothula practices at 1825 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 235-5386.

What is Vijayasimha Pothula's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Vijayasimha Pothula enrolled in Medicare?

Yes. Vijayasimha Pothula 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.

When was this NPI record last updated?

The NPPES record for Vijayasimha Pothula was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.