DR. VIJAY TIRUMALASETTY MD
NPI 1760618003
Family Medicine in Canton, GA

Q: What is Vijay Tirumalasetty's NPI number?

The NPI number for Vijay Tirumalasetty is 1760618003. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Q: What is Vijay Tirumalasetty's specialty?

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

Active since June 01, 2009PECOS EnrolledAccepts Medicare Assignment

6613 HICKORY FLAT HWY, CANTON, GA 30115(770) 268-4357(470) 251-6064 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2025, Jul 26, 2018 (2 updates tracked since 2018).

On this page

About Dr. Vijay Tirumalasetty Md NPPES

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

DR. VIJAY TIRUMALASETTY MD (NPI 1760618003) is an individual family medicine provider in Canton, Georgia, licensed in Georgia (72940) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1760618003

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. VIJAY TIRUMALASETTYCredential: MD

Location Address6613 HICKORY FLAT HWYCanton, GA 30115-7237

Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0016 · Fax (770) 955-4278

Phone(770) 268-4357

Fax(470) 251-6064

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 1, 2009

Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ NPI 1760618003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 72940✔ Licensed in MI · 4301094275✔ Licensed in AL · MD.31878

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.

6613 HICKORY FLAT HWY, Canton, GA 30115

Open in Google Maps ↗

Other Identifiers 2

Medicaid141108AL

Other511-27915AL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vijay Tirumalasetty Md 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 ID8325295645

PECOS Enrollment IDI20250204000890

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 Vijay Tirumalasetty reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aylo Health, LLC

20 mi

Family Medicine

3333 RIVERWOOD PKWY SE STE 250
Atlanta, GA 30339

Reassigned Medicare billing, Georgia enrollment
132 clinicians in this Medicare group

NPI 1013018811 (770) 914-0116

Peachtree Immediate Care Fp, LLC

28 mi

Family Medicine

3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141

Reassigned Medicare billing, Georgia enrollment
551 clinicians in this Medicare group

NPI 1437194156 (770) 222-8900

Wellstreet Of Georgia PC

56 mi

Urgent Care

1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265

Reassigned Medicare billing, Georgia enrollment
380 clinicians in this Medicare group

NPI 1235411547 (770) 502-2121

Eastside Family Care LLC

160 mi

Family Medicine

14 MITYLENE PARK LN
Montgomery, AL 36117

Reassigned Medicare billing, Alabama enrollment
5 clinicians in this Medicare group

NPI 1689091548 (334) 524-3266

Vaughn Family Care LLC

161 mi

Family Medicine

9540 WYNLAKES PL
Montgomery, AL 36117

Reassigned Medicare billing, Alabama enrollment
5 clinicians in this Medicare group

NPI 1043599541 (334) 395-9933

Ourtown Family Care LLC

194 mi

Family Medicine

1025 MEDICAL CENTER PKWY
Selma, AL 36701

Reassigned Medicare billing, Alabama enrollment
5 clinicians in this Medicare group

NPI 1801157706 (334) 875-8833

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

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

724 services66 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

187 services131 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

180 services41 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

159 services89 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

114 services72 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

109 services82 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

102 services82 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

61 services61 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

44 services14 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

40 services32 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

29 services28 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

19 services18 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

17 services15 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

15 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

57%28 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

TATIANA CARDANIUC PA-C

Physician Assistant