DR. ALEKSANDR VYDRO M.D.
NPI 1124130430
Psychiatry & Neurology - Psychiatry in Fresno, CA

Q: What is Aleksandr Vydro's NPI number?

The NPI number for Aleksandr Vydro is 1124130430. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Aleksandr Vydro's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Aleksandr Vydro was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 31, 2006PECOS EnrolledAccepts Medicare Assignment

1060 W SIERRA AVE STE 105, FRESNO, CA 93711(559) 437-1111(559) 437-1118 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Aleksandr Vydro M.d. NPPES

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

DR. ALEKSANDR VYDRO M.D. (NPI 1124130430) is an individual psychiatry provider in Fresno, California, licensed in California (A54990) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1124130430

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ALEKSANDR VYDROCredential: M.D.

Location Address1060 W SIERRA AVE STE 105Fresno, CA 93711-2063

Mailing Address1060 W Sierra Ave Ste 105Fresno, CA 93711-2063 · (559) 437-1111 · Fax (559) 437-1118

Phone(559) 437-1111

Fax(559) 437-1118

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateAugust 31, 2006

Last NPPES UpdateSeptember 21, 2021

NPPES CertifiedSeptember 21, 2021

✔ NPI 1124130430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A54990

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1060 W SIERRA AVE STE 105, Fresno, CA 93711

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Secondary Practice Location 1

Location 17171 N Cedar AveFresno, CA 93720-3311 · Phone (559) 449-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Aleksandr Vydro M.d. 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 ID2668460718

PECOS Enrollment IDI20040505001403

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

213 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services19 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93711 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Heavy duty wheelchair K0006

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$46.08 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$8.45 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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