MRS. VIDYA PANGULURI M.D
NPI 1487923579
Internal Medicine in Fresno, CA

Active since December 20, 2011PECOS EnrolledAccepts Medicare Assignment
1379 E HERNDON AVE, FRESNO, CA 93720(559) 435-2630(559) 435-4319 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Vidya Panguluri M.d NPPES

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

MRS. VIDYA PANGULURI M.D (NPI 1487923579) is an individual internal medicine provider in Fresno, California, licensed in California (A135961) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1487923579
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. VIDYA PANGULURICredential: M.D
Location Address1379 E HERNDON AVEFresno, CA 93720-3309
Mailing Address1303 E Herndon Ave, Suite 431Fresno, CA 93720-3309 · (559) 435-2630 · Fax (559) 435-4319
Fax(559) 435-4319
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 20, 2011
Last NPPES UpdateDecember 8, 2021
NPI 1487923579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · A135961 Licensed in IL · 125059324
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.
1379 E HERNDON AVE, Fresno, CA 93720

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

Mrs. Vidya Panguluri 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 ID9830319409
PECOS Enrollment IDI20151102002319
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 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 12

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

Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Radiology (Diagnostic Radiology)
1379 E HERNDON AVE
FRESNO, CA 93720
Internal Medicine (Cardiovascular Disease)
1379 E HERNDON AVE
FRESNO, CA 93720
Physician Assistant
1379 E HERNDON AVE
FRESNO, CA 93720

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 Panguluri's NPI number?

The NPI number for Vidya Panguluri is 1487923579. It was assigned to this individual provider in the NPPES registry on December 20, 2011.

Where is Vidya Panguluri located?

Vidya Panguluri practices at 1379 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 435-2630.

What is Vidya Panguluri's specialty?

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

Is Vidya Panguluri enrolled in Medicare?

Yes. Vidya Panguluri 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.

When was this NPI record last updated?

The NPPES record for Vidya Panguluri was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.