DR. AMARESH VYDYANATHAN MD, MS
NPI 1336319094
Pain Medicine - Interventional Pain Medicine in Bloomington, IL

Q: What is Amaresh Vydyanathan's NPI number?

The NPI number for Amaresh Vydyanathan is 1336319094. It was assigned to this individual provider in the NPPES registry on March 8, 2008.

Q: What is Amaresh Vydyanathan's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since March 08, 2008PECOS Enrolled

100/100

CMS Quality Rating

1015 S MERCER AVE, BLOOMINGTON, IL 61701(309) 662-4321(309) 661-4532 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Amaresh Vydyanathan Md, Ms NPPES

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

DR. AMARESH VYDYANATHAN MD, MS (NPI 1336319094) is an individual interventional pain medicine provider in Bloomington, Illinois, licensed in Illinois (036124700) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2004).

NPPES Registry Identity

NPI1336319094

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameDR. AMARESH VYDYANATHANCredential: MD, MS

Location Address1015 S MERCER AVEBloomington, IL 61701-7107

Mailing Address1015 S Mercer AveBloomington, IL 61701-7107 · (309) 662-4321 · Fax (309) 661-4532

Phone(309) 662-4321

Fax(309) 661-4532

Sole ProprietorYes

Medical School CMSPennsylvania State University College Of MedicineGraduated 2004

Enumeration DateMarch 8, 2008

Last NPPES UpdateSeptember 11, 2012

✔ NPI 1336319094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in IL · 036124700

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 57.009044 (OH)

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 036124700 (IL)

1015 S MERCER AVE, Bloomington, IL 61701

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Other Identifiers 2

Medicaid036124700IL

Medicare PIN206158002IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amaresh Vydyanathan Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42353427

PECOS Enrollment IDI20110826000081

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.

Medicare Billing Reassignments

Medicare enrollment records show Amaresh Vydyanathan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Relief Medical Group PA

787 mi

Pain Medicine

169 MADISON AVE # 2412
New York, NY 10016

Reassigned Medicare billing, Georgia, North Carolina, New York, Pennsylvania and Tennessee enrollments
3 clinicians in this Medicare group

NPI 1801541149 (850) 213-6396

Montefiore Medical Center

788 mi

Family Medicine

2633 BROADWAY
New York, NY 10025

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1760288278 (888) 663-6331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 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.

67 services47 patients

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.

39 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

20 services19 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

16 services12 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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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