DR. NISHA CHELLAM VEDAMUTHU M.D.
NPI 1689685927
Internal Medicine in West Hollywood, CA

Q: What is Nisha Chellam Vedamuthu's NPI number?

The NPI number for Nisha Chellam Vedamuthu is 1689685927. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Nisha Chellam Vedamuthu's specialty?

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

Q: Is Nisha Chellam Vedamuthu enrolled in Medicare?

No. Nisha Chellam Vedamuthu has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since August 11, 2006Opted out of Medicare · through Jan 1, 2028

8550 SANTA MONICA BLVD FL 2, WEST HOLLYWOOD, CA 90069(909) 962-1260 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2023, May 17, 2021 (2 updates tracked since 2021).

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About Dr. Nisha Chellam Vedamuthu M.d. NPPES

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

DR. NISHA CHELLAM VEDAMUTHU M.D. (NPI 1689685927) is an individual internal medicine provider in West Hollywood, California, licensed in Michigan (4301061862) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains 14 additional practice locations.

NPPES Registry Identity

NPI1689685927

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. NISHA CHELLAM VEDAMUTHUCredential: M.D.

Location Address8550 SANTA MONICA BLVD FL 2West Hollywood, CA 90069-4496

Mailing Address8550 Santa Monica Blvd Fl 2West Hollywood, CA 90069-4496 · (909) 962-1260

Phone(909) 962-1260

Sole ProprietorNo

Enumeration DateAugust 11, 2006

Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2023

✔ NPI 1689685927 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 · 4301061862

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.

8550 SANTA MONICA BLVD FL 2, West Hollywood, CA 90069

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Secondary Practice Locations 14

Location 1500 N Michigan Ave Ste 536Chicago, IL 60611-3755 · Phone (833) 447-2775

Location 26959 Golden Ring RdRosedale, MD 21237-3033 · Phone (833) 447-2775

Location 3336 W 1st St Ste 113Flint, MI 48502-1382 · Phone (833) 447-2775

Location 41215 24th St W Ste 125Billings, MT 59102-3895 · Phone (833) 447-2775

Location 56135 Park South Dr Ste 510Charlotte, NC 28210-0100 · Phone (833) 447-2775

Location 61709 N 19th St Ste 3Bismarck, ND 58501-2121 · Phone (833) 447-2775

Location 75575 S Semoran Blvd Ste 36Orlando, FL 32822-1782 · Phone (833) 447-2775

Location 817470 N Pacesetter WayScottsdale, AZ 85255-5445 · Phone (833) 447-2775

Location 9600 Boulevard South SW Ste 104JHuntsville, AL 35802-2175 · Phone (833) 447-2775

Location 107014 13th Ave Ste 202Brooklyn, NY 11228-1604 · Phone (833) 447-2775

Location 111344 Cove RoadWelrton, WV 26062-1001 · Phone (833) 447-2775

Location 1214205 SE 36th St Ste 100Bellevue, WA 98006-1553 · Phone (833) 447-2775

Location 139900 Spectrum DrAustin, TX 78717-4555 · Phone (833) 447-2775

Location 14300 N Dakota Ave Ste 116Sioux Falls, SD 57104-6020 · Phone (833) 447-2775

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nisha Chellam Vedamuthu M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90069 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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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.

CAROLYN FRANCES KRIEG D.O.

Internal Medicine