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VIDUR SIDDHANTH MAHADEVA M.D.
NPI 1760451769
Internal Medicine in Fallon, NV

Active since March 14, 2006PECOS Enrolled
801 E WILLIAMS AVE, FALLON, NV 89406(775) 423-3151(775) 423-2853 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vidur Siddhanth Mahadeva M.d. NPPES

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

VIDUR SIDDHANTH MAHADEVA M.D. (NPI 1760451769) is an individual internal medicine provider in Fallon, Nevada, licensed in Nevada (11257) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760451769
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVIDUR SIDDHANTH MAHADEVACredential: M.D.
Location Address801 E WILLIAMS AVEFallon, NV 89406-3052
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837 · (602) 495-4577 · Fax (602) 417-3549
Phone(775) 423-3151
Fax(775) 423-2853
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateNovember 30, 2012
✔ NPI 1760451769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 11257
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.
801 E WILLIAMS AVE, Fallon, NV 89406
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Other Identifiers 3

Medicaid100508290NV
Medicare UPINI29959
Medicare PINV101711

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vidur Siddhanth Mahadeva M.d. 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 89406 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

BANNER OCCUPATIONAL HEALTH & WELLNESS - FALLON
Clinic/Center (Occupational Medicine)
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 423-3151
MUSA KHALIQI MD INC
Hospitalist
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 423-3151
BANNER CHURCHILL COMMUNITY HOSPITAL
General Acute Care Hospital
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 423-3151
TREVOR PHAN MD PC
Hospitalist
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 530-5886
MELISSA CARYL COOMBS M.D.
Emergency Medicine
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 423-3151
JOHN L GRIFFITH M.D.
Radiology (Diagnostic Radiology)
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 867-7481
RYAN J KASKY DO
Family Medicine
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 867-7740
MR. FRANK KING LEE CRNA
Nurse Anesthetist, Certified Registered
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 867-7703

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 Vidur Mahadeva's NPI number?

The NPI number for Vidur Mahadeva is 1760451769. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Vidur Mahadeva located?

Vidur Mahadeva practices at 801 E Williams Ave, Fallon, NV 89406. The listed phone number is (775) 423-3151.

What is Vidur Mahadeva's specialty?

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

Is Vidur Mahadeva enrolled in Medicare?

Yes. Vidur Mahadeva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vidur Mahadeva was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.