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VIJAYA AJJAGOTTU
NPI 1558467266
Internal Medicine in Albany, NY

Active since September 16, 2006PECOS Enrolled
113 HOLLAND AVE, ALBANY, NY 12208(518) 626-5000 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vijaya Ajjagottu NPPES

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

VIJAYA AJJAGOTTU (NPI 1558467266) is an individual internal medicine provider in Albany, New York, licensed in Connecticut (041034) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558467266
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVIJAYA AJJAGOTTU
Location Address113 HOLLAND AVEAlbany, NY 12208-3410
Mailing Address251 Trinity AveGlastonbury, CT 06033-1339 · (860) 997-5225
Phone(518) 626-5000
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 26, 2022
NPPES CertifiedApril 26, 2022
✔ NPI 1558467266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 041034
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.
113 HOLLAND AVE, Albany, NY 12208
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vijaya Ajjagottu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12208 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

SUZANNE HELEN DEANE LMSW
Social Worker (Clinical)
113 HOLLAND AVE
ALBANY, NY 12208
Albany County (518) 626-5000
DR. DONALD STONE HIGGINS JR. M.D.
Psychiatry & Neurology (Neurology)
113 HOLLAND AVE, NEUROLOGY SERVICE (127)
ALBANY, NY 12208
Albany County (518) 626-6391
ROBERT A BELGAM M.D.
Radiology (Radiation Oncology)
113 HOLLAND AVE, STRATTON VA MEDICAL CENTER
ALBANY, NY 12208
Albany County (518) 626-6650
DR. DOREEN HARRIS PH.D.
Psychologist (Clinical)
113 HOLLAND AVE
ALBANY, NY 12208
Albany County (518) 626-5405
MR. GLENN CHARLES BROWN RPH
Pharmacist
113 HOLLAND AVE
ALBANY, NY 12208
Albany County (518) 626-5720
DR. JACQUELINE ELLEN SZESNAT PHARMD, RPH
Pharmacist
113 HOLLAND AVE
ALBANY, NY 12208
Albany County (518) 626-5000
MS. DARCY A JANOWSKI FNP-C
Nurse Practitioner (Family)
113 HOLLAND AVE
ALBANY, NY 12208
Albany County (518) 626-5000
DR. RICHARD H CIPOLARO D.D.S.
Dentist
113 HOLLAND AVE
ALBANY, NY 12208
Albany County (518) 626-6572

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 Vijaya Ajjagottu's NPI number?

The NPI number for Vijaya Ajjagottu is 1558467266. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Vijaya Ajjagottu located?

Vijaya Ajjagottu practices at 113 Holland Ave, Albany, NY 12208. The listed phone number is (518) 626-5000.

What is Vijaya Ajjagottu's specialty?

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

Is Vijaya Ajjagottu enrolled in Medicare?

Yes. Vijaya Ajjagottu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vijaya Ajjagottu was last updated on April 26, 2022. 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.