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VIDYULATHA TALLA MD
NPI 1528005899
Internal Medicine in Grand Rapids, MI

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1900 WEALTHY ST SE STE 200, GRAND RAPIDS, MI 49506(616) 774-0276 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2021, Mar 3, 2021, Mar 2, 2020 (3 updates tracked since 2020).

About Vidyulatha Talla Md NPPES

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

VIDYULATHA TALLA MD (NPI 1528005899) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301076913) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1528005899
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVIDYULATHA TALLACredential: MD
Location Address1900 WEALTHY ST SE STE 200Grand Rapids, MI 49506-2969
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Phone(616) 774-0276
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 2, 2006
Last NPPES UpdateJune 15, 20213 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1528005899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301076913
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.
1900 WEALTHY ST SE STE 200, Grand Rapids, MI 49506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Vidyulatha Talla Md 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 ID4688703614
PECOS Enrollment IDI20100528000601
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.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

ADAM EDLUND MD
Internal Medicine
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Kent County (616) 774-0276
JILL PALMER NP
Nurse Practitioner (Gerontology)
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Kent County (616) 774-0276
AMY ELIZABETH VELTKAMP NP
Nurse Practitioner (Gerontology)
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Kent County (616) 774-0276
ERIN ELIZABETH LEE PAC
Physician Assistant
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Kent County (616) 774-0276
JOEL FRED VANDERIET MD
Internal Medicine
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Kent County (616) 774-0276
KARTIK HARSHADKUMAR PATEL M.D.
Internal Medicine
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Kent County (616) 774-0276
CARISSA JOHANNA VANDERWOUDE FNP
Nurse Practitioner (Family)
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Kent County (616) 774-0276
JENNIFER CARLYN PALM DWYER PA-C
Physician Assistant
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Kent County (616) 774-0276

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 Vidyulatha Talla's NPI number?

The NPI number for Vidyulatha Talla is 1528005899. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Vidyulatha Talla located?

Vidyulatha Talla practices at 1900 Wealthy St SE Ste 200, Grand Rapids, MI 49506. The listed phone number is (616) 774-0276.

What is Vidyulatha Talla's specialty?

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

Is Vidyulatha Talla enrolled in Medicare?

Yes. Vidyulatha Talla 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.

What insurance does Vidyulatha Talla accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Vidyulatha Talla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vidyulatha Talla affiliated with any hospitals?

According to CMS data, Vidyulatha Talla is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Vidyulatha Talla was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.