Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VISHNUDIVYA VELUPULA DO
NPI 1457056707
Family Medicine in Lake Zurich, IL

Active since April 04, 2023PECOS Enrolled
350 SURRYSE RD STE 100, LAKE ZURICH, IL 60047(847) 438-2144(847) 438-4654 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, Jul 22, 2026, Jun 14, 2023 and 1 more (4 updates tracked since 2023).

About Vishnudivya Velupula Do NPPES

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

VISHNUDIVYA VELUPULA DO (NPI 1457056707) is an individual family medicine provider in Lake Zurich, Illinois, licensed in Illinois (036.180135) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Park Ridge, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2023).

NPPES Registry Identity

NPI1457056707
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVISHNUDIVYA VELUPULACredential: DO
Location Address350 SURRYSE RD STE 100Lake Zurich, IL 60047-3217
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Fax(847) 438-4654
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateSeptember 14, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1457056707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.180135
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
350 SURRYSE RD STE 100, Lake Zurich, IL 60047

Secondary Practice Location 1

Location 11775 Ballard RdPark Ridge, IL 60068-1005 · Phone (847) 318-6020

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vishnudivya Velupula Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365908134
PECOS Enrollment IDI20260731001685
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60047 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 11

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

Family Medicine
350 SURRYSE RD STE 100
LAKE ZURICH, IL 60047
Family Medicine
350 SURRYSE RD STE 100
LAKE ZURICH, IL 60047
Nurse Practitioner (Family)
350 SURRYSE RD STE 100
LAKE ZURICH, IL 60047
Physician Assistant
350 SURRYSE RD STE 100
LAKE ZURICH, IL 60047
Family Medicine
350 SURRYSE RD STE 100
LAKE ZURICH, IL 60047
Family Medicine
350 SURRYSE RD STE 100
LAKE ZURICH, IL 60047
Internal Medicine (Cardiovascular Disease)
350 SURRYSE RD STE 100
LAKE ZURICH, IL 60047
Clinic/Center (Multi-Specialty)
350 SURRYSE RD STE 100
LAKE ZURICH, IL 60047

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 Vishnudivya Velupula's NPI number?

The NPI number for Vishnudivya Velupula is 1457056707. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Vishnudivya Velupula located?

Vishnudivya Velupula practices at 350 Surryse Rd Ste 100, Lake Zurich, IL 60047. The listed phone number is (847) 438-2144.

What is Vishnudivya Velupula's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vishnudivya Velupula enrolled in Medicare?

Yes. Vishnudivya Velupula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vishnudivya Velupula was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.