VIJAYA L DASARI MD, DGO
NPI 1720003361
Family Medicine in Middletown, NY

Active since July 13, 2006PECOS Enrolled
90 CRYSTAL RUN RD, SUITE 403, MIDDLETOWN, NY 10941(845) 703-8806(845) 703-9058 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vijaya L Dasari Md, Dgo NPPES

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

VIJAYA L DASARI MD, DGO (NPI 1720003361) is an individual family medicine provider in Middletown, New York, licensed in New York (210954) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720003361
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVIJAYA L DASARICredential: MD, DGO
Location Address90 CRYSTAL RUN RD, SUITE 403Middletown, NY 10941-7101
Mailing AddressPo Box 29Goshen, NY 10924-0029 · (845) 615-1141 · Fax (845) 294-4333
Fax(845) 703-9058
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720003361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 210954
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.
90 CRYSTAL RUN RD, Middletown, NY 10941

Other Identifiers 2

Medicare ID-Type Unspecified9X3521
Medicare UPING83300

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 L Dasari Md, Dgo 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 10941 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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 3

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

Internal Medicine (Pulmonary Disease)
90 CRYSTAL RUN RD, 403
MIDDLETOWN, NY 10941
Internal Medicine (Pulmonary Disease)
90 CRYSTAL RUN RD, SUITE 403
MIDDLETOWN, NY 10941
Ophthalmology
90 CRYSTAL RUN RD
MIDDLETOWN, NY 10941

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 Dasari's NPI number?

The NPI number for Vijaya Dasari is 1720003361. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Vijaya Dasari located?

Vijaya Dasari practices at 90 Crystal Run Rd Suite 403, Middletown, NY 10941. The listed phone number is (845) 703-8806.

What is Vijaya Dasari's specialty?

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

Is Vijaya Dasari enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Vijaya Dasari was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.