VIJETHA VINOD MALLER M.D
NPI 1457751745
Radiology - Pediatric Radiology in Memphis, TN

Active since August 25, 2014PECOS EnrolledAccepts Medicare Assignment
848 ADAMS AVE, MEMPHIS, TN 38103(901) 287-7337(901) 287-6042 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Vijetha Vinod Maller M.d NPPES

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

VIJETHA VINOD MALLER M.D (NPI 1457751745) is an individual pediatric radiology provider in Memphis, Tennessee, licensed in Tennessee (57894) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1457751745
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameVIJETHA VINOD MALLERCredential: M.D
Location Address848 ADAMS AVEMemphis, TN 38103-2816
Mailing Address850 Poplar Ave Bldg 2Memphis, TN 38105-4607
Fax(901) 287-6042
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 25, 2014
Last NPPES UpdateDecember 3, 2018
NPI 1457751745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License Licensed in TN · 57894
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
848 ADAMS AVE, Memphis, TN 38103

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

Vijetha Vinod Maller 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 ID7214276211
PECOS Enrollment IDI20190311000508
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.

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

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.

Pediatrics (Pediatric Cardiology)
848 ADAMS AVE
MEMPHIS, TN 38103
Pediatrics (Pediatric Critical Care Medicine)
848 ADAMS AVE
MEMPHIS, TN 38103
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Nurse Practitioner (Neonatal, Critical Care)
848 ADAMS AVE
MEMPHIS, TN 38103
Nurse Practitioner (Pediatrics)
848 ADAMS AVE
MEMPHIS, TN 38103
Speech-Language Pathologist
848 ADAMS AVE
MEMPHIS, TN 38103
Dietitian, Registered (Nutrition, Pediatric)
848 ADAMS AVE
MEMPHIS, TN 38103

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 Vijetha Maller's NPI number?

The NPI number for Vijetha Maller is 1457751745. It was assigned to this individual provider in the NPPES registry on August 25, 2014.

Where is Vijetha Maller located?

Vijetha Maller practices at 848 Adams Ave, Memphis, TN 38103. The listed phone number is (901) 287-7337.

What is Vijetha Maller's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Vijetha Maller enrolled in Medicare?

Yes. Vijetha Maller 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.

Is Vijetha Maller affiliated with any hospitals?

According to CMS data, Vijetha Maller is affiliated with Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Vijetha Maller was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.