DR. KANTI SRI VITTALA MD
NPI 1669760468
Pediatrics in Mesa, AZ

Q: What is Kanti Vittala's NPI number?

The NPI number for Kanti Vittala is 1669760468. It was assigned to this individual provider in the NPPES registry on July 13, 2011. The provider is also known as Dr. Satya S Vittala MD.

Q: What is Kanti Vittala's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kanti Vittala was last updated on January 2, 2019. 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.

Active since July 13, 2011PECOS Enrolled

1400 S DOBSON RD, MESA, AZ 85202(480) 412-5437 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Kanti Sri Vittala Md NPPES

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

DR. KANTI SRI VITTALA MD (NPI 1669760468) is an individual pediatrics provider in Mesa, Arizona, licensed in Arizona (50690) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669760468

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KANTI SRI VITTALACredential: MD

Location Address1400 S DOBSON RDMesa, AZ 85202-4707

Mailing Address1790 S Villas LnChandler, AZ 85286-8416

Phone(480) 412-5437

Sole ProprietorNo

Enumeration DateJuly 13, 2011

Last NPPES UpdateJanuary 2, 2019

✔ NPI 1669760468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AZ · 50690✔ Licensed in CA · A128129

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1400 S DOBSON RD, Mesa, AZ 85202

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Other Names 1

Former Name (1)Dr. Satya S Vittala Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kanti Sri Vittala Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Kanti Vittala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Physician Super Specialists Arizona LLC

0.1 mi

Nutrition, Education

1450 S DOBSON RD STE B221
Mesa, AZ 85202

Reassigned Medicare billing, Arizona enrollment
188 clinicians in this Medicare group

NPI 1790337665 (480) 827-5370

Arizona Acute Medical Services 1 PC

11 mi

Hospitalist

1930 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
302 clinicians in this Medicare group

NPI 1154860674 (602) 532-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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