VIJAYALAKSHMI VADDIREDDY M.D
NPI 1629278866
Family Medicine in Cumming, GA

Q: What is Vijayalakshmi Vaddireddy's NPI number?

The NPI number for Vijayalakshmi Vaddireddy is 1629278866. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Q: What is Vijayalakshmi Vaddireddy's specialty?

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

Active since July 24, 2007PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

3850 WINDERMERE PKWY STE 105, CUMMING, GA 30041(678) 455-2800(770) 888-9998 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2024, Feb 26, 2021, Feb 1, 2017 (3 updates tracked since 2017).

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About Vijayalakshmi Vaddireddy M.d NPPES

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

VIJAYALAKSHMI VADDIREDDY M.D (NPI 1629278866) is an individual family medicine provider in Cumming, Georgia, licensed in Georgia (64289) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2008).

NPPES Registry Identity

NPI1629278866

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVIJAYALAKSHMI VADDIREDDYCredential: M.D

Location Address3850 WINDERMERE PKWY STE 105Cumming, GA 30041-7033

Mailing Address3850 Windermere Pkwy Ste 105Cumming, GA 30041-7033 · (678) 455-2800 · Fax (770) 888-9998

Phone(678) 455-2800

Fax(770) 888-9998

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2008

Enumeration DateJuly 24, 2007

Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1629278866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 64289

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.

3850 WINDERMERE PKWY STE 105, Cumming, GA 30041

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Vijayalakshmi Vaddireddy 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 ID4385720614

PECOS Enrollment IDI20111103000603

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

183 services91 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services59 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

36 services26 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

28 services28 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

16 services11 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

44%203 patients2/55-star benchmark: 93%

Cervical Cancer Screening

55%545 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

9%451 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

22%401 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

57%288 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

1%125 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

30%125 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

94%2,564 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

10%481 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

37%1,215 patients2/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 52% · 1,065 patients

Patients screened: 54% · 1,065 patients

32%28 patients2/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 4% · 463 patients

Patients totalRate: 10% · 497 patients

8%497 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

SYED NAYER

Nurse Practitioner (Psychiatric/Mental Health)