VIDYA VENKAT PA
NPI 1104035476
Physician Assistant in Charlotte, NC

Q: What is Vidya Venkat's NPI number?

The NPI number for Vidya Venkat is 1104035476. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Vidya Venkat's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Vidya Venkat was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment

10810 MALLARD CREEK RD, CHARLOTTE, NC 28262(704) 510-8000(704) 510-8006 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2023, Aug 7, 2019, Jul 18, 2019 and 15 more (18 updates tracked since 2018).

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About Vidya Venkat Pa NPPES

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

VIDYA VENKAT PA (NPI 1104035476) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-01576) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1104035476

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVIDYA VENKATCredential: PA

Location Address10810 MALLARD CREEK RDCharlotte, NC 28262-9786

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 510-8000

Fax(704) 510-8006

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 22, 2007

Last NPPES UpdateDecember 14, 202318 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1104035476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-01576

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10810 MALLARD CREEK RD, Charlotte, NC 28262

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Secondary Practice Locations 2

Location 12709 Water Ridge Pkwy, Building 5, Suite 500Charlotte, NC 28217-4596 · Phone (704) 446-9173

Location 21000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-2171

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Vidya Venkat Pa 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 ID9638232978

PECOS Enrollment IDI20100429000037

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services68 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services29 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

16 services16 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

15 services15 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

13 services13 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 20

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

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