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VIDYA VALADA INTERNAL MEDICINE P.C
NPI 1427095223
Internal Medicine in New York, NY

Active since June 01, 2006CLIA 33D1093679 · Waiver
580 PARK AVE APT 1B, NEW YORK, NY 10065(212) 755-0037(212) 688-2207 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vidya Valada Internal Medicine P.c NPPES

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

VIDYA VALADA INTERNAL MEDICINE P.C (NPI 1427095223) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Vidya Valada, President, as its authorized official.

NPPES Registry Identity

NPI1427095223
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVIDYA VALADA INTERNAL MEDICINE P.C
Location Address580 PARK AVE APT 1BNew York, NY 10065-7342
Mailing Address35 Sutton Pl # 12dNew York, NY 10022-2429 · (347) 351-3315 · Fax (212) 755-0110
Phone(212) 755-0037
Fax(212) 688-2207
Organization SubpartNo
Authorized OfficialVidya ValadaPresident · (347) 351-3315
Enumeration DateJune 1, 2006
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1427095223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
580 PARK AVE APT 1B, New York, NY 10065
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vidya Valada Internal Medicine P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vidya Valada Internal Medicine P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vidya Valada, M.D
Internal Medicine
NPI 1336186758
580 PARK AVE APT 1B
New York, NY 10065
(212) 755-0037
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1093679

Vidya Valada Internal Medicine PC · New York, NY
Active · expires Dec 29, 2026
CLIA Number33D1093679
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorDr. Vidya Valada
Laboratory Phone(212) 755-0037
Laboratory LocationVidya Valada Internal Medicine PC800A Fifth Avenue, Suite 206, New York, NY 10065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vidya Valada Internal Medicine P.C's NPI number?

The NPI number for Vidya Valada Internal Medicine P.C is 1427095223. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Vidya Valada Internal Medicine P.C located?

Vidya Valada Internal Medicine P.C is located at 580 Park Ave Apt 1B, New York, NY 10065. The listed phone number is (212) 755-0037.

What is Vidya Valada Internal Medicine P.C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vidya Valada Internal Medicine P.C enrolled in Medicare?

Yes. Vidya Valada Internal Medicine P.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vidya Valada Internal Medicine P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Vidya Valada Internal Medicine P.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vidya Valada Internal Medicine P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1093679) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vidya Valada Internal Medicine P.C was last updated on June 13, 2024. 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.