SUNDARI VUDATALA PA-C
NPI 1679123145
Physician Assistant in Columbus, OH

Q: What is Sundari Vudatala's NPI number?

The NPI number for Sundari Vudatala is 1679123145. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Q: What is Sundari Vudatala's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sundari Vudatala was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 September 17, 2019PECOS EnrolledAccepts Medicare Assignment

460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-7499(614) 366-2360 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2024, Sep 17, 2019 (2 updates tracked since 2019).

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About Sundari Vudatala Pa-c NPPES

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

SUNDARI VUDATALA PA-C (NPI 1679123145) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.009098RX) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lewis Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679123145

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSUNDARI VUDATALACredential: PA-C

Location Address460 W 10TH AVEColumbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7499 · Fax (614) 366-2360

Phone(614) 293-7499

Fax(614) 366-2360

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 17, 2019

Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration

NPPES CertifiedOctober 16, 2024

✔ NPI 1679123145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.009098RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

460 W 10TH AVE, Columbus, OH 43210

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Secondary Practice Location 1

Location 1134 Holly Hock LnLewis Center, OH 43035-6123 · Phone (614) 592-2192

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.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

Sundari Vudatala Pa-c 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 ID840725248

PECOS Enrollment IDI20241121003597

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 43210 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

CHIEMEZIE CHIANOTU AMADI MD

Radiology (Diagnostic Radiology)