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HASITHA VEMULA MD
NPI 1205498235
Internal Medicine - Endocrinology, Diabetes & Metabolism in Dover, DE

Active since June 29, 2019PECOS EnrolledAccepts Medicare Assignment
665 BAY RD., UNIT B, DOVER, DE 19901(024) 011-5003(302) 672-6450 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2024, Jul 25, 2024, Dec 16, 2022 (3 updates tracked since 2022).

About Hasitha Vemula Md NPPES

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

HASITHA VEMULA MD (NPI 1205498235) is an individual endocrinology, diabetes & metabolism provider in Dover, Delaware, licensed in Delaware (C1-0026688) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205498235
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameHASITHA VEMULACredential: MD
Location Address665 BAY RD., UNIT BDover, DE 19901
Mailing Address640 S. State St., Mail Code 3055Dover, DE 19901-3530 · (302) 401-1500 · Fax (026) 726-4503
Phone(024) 011-5003
Fax(302) 672-6450
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 29, 2019
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1205498235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in DE · C1-0026688
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
665 BAY RD., UNIT B, Dover, DE 19901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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

Hasitha Vemula 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 ID5799169967
PECOS Enrollment IDI20241122000082
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 4

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.
54 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
18 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Hasitha Vemula's NPI number?

The NPI number for Hasitha Vemula is 1205498235. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Where is Hasitha Vemula located?

Hasitha Vemula practices at 665 Bay Rd., Unit B, Dover, DE 19901. The listed phone number is (024) 011-5003.

What is Hasitha Vemula's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Hasitha Vemula enrolled in Medicare?

Yes. Hasitha Vemula 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 Hasitha Vemula accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Hasitha Vemula 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 Hasitha Vemula was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.