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DR. MARY ALICE VIJJESWARAPU M.D.
NPI 1962765180
Anesthesiology - Pain Medicine in West Hollywood, CA

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(310) 423-5841 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2021, Jun 28, 2016 (2 updates tracked since 2016).

About Dr. Mary Alice Vijjeswarapu M.d. NPPES

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

DR. MARY ALICE VIJJESWARAPU M.D. (NPI 1962765180) is an individual pain medicine provider in West Hollywood, California, licensed in California (A147375) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dorchester, and is a graduate of Boston University School Of Medicine (2012).

NPPES Registry Identity

NPI1962765180
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NameDR. MARY ALICE VIJJESWARAPUCredential: M.D.
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500
Phone(310) 423-5841
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2012
Enumeration DateJune 21, 2012
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1962765180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · A147375
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 266053 (MA)
Also ListedInternal MedicineTaxonomy 207R00000X · License 252000 (MA)
8700 BEVERLY BLVD, West Hollywood, CA 90048
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Secondary Practice Location 1

Location 12100 Dorchester AveDorchester, MA 02124-5615 · Phone (617) 296-4000

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. Mary Alice Vijjeswarapu M.d. 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 ID3971736786
PECOS Enrollment IDI20180418002308
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

3

Medicare enrollment records show Mary Vijjeswarapu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cedars-Sinai Medical Care Foundation
Same address
Anesthesiology
8700 BEVERLY BLVD STE SB-290
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
NPI 1043826720 (310) 423-1447
Advanced Anesthesia Specialists A Medical Corporation
17 mi
Anesthesiology
7230 MEDICAL CENTER DR, SUITE 500-B
West Hills, CA 91307
  • Reassigned Medicare billing, California enrollment
  • 99 clinicians in this Medicare group
NPI 1871733600 (818) 348-7246
Brigham & Womens Physicians Organization Inc
2,600 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500

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 7

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
111 services100 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.
69 services46 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.
39 services31 patients
Daily hospital management of continuous spinal drug administration 01996
Continuous spinal drug administration is a hospital procedure where medication is delivered directly into the spinal fluid through a small tube. It helps manage pain or other conditions. Daily hospital management involves monitoring for effectiveness and any potential side effects.
35 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients

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.

DR. BERNICE LOUISE COLEMAN PH.D, ACNP-BC
Nurse Practitioner (Acute Care)
8700 BEVERLY BLVD, NORTH TOWER ROOM 6215
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6178
DR. INGRID LEAH DOMBROWER M.D.
Psychiatry & Neurology (Psychiatry)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-2871
ELAINE WITTERT MSW
Social Worker (Clinical)
8700 BEVERLY BLVD, SUITE AC1002
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3119
DR. KENAN MOHAMMED NADAR D.O.
Pediatrics
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-4451
HAE YOON GRACE CHOUNG MD
Pathology (Anatomic Pathology & Clinical Pathology)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6623
CASEY DISTASO MD
Emergency Medicine
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-8780
CHIARA CASAS NP
Nurse Practitioner (Pediatrics)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3277
AUSTIN WU MD
Anesthesiology
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5841

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 Mary Vijjeswarapu's NPI number?

The NPI number for Mary Vijjeswarapu is 1962765180. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Mary Vijjeswarapu located?

Mary Vijjeswarapu practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-5841.

What is Mary Vijjeswarapu's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Mary Vijjeswarapu enrolled in Medicare?

Yes. Mary Vijjeswarapu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Vijjeswarapu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Vijjeswarapu reassigns Medicare benefits to 3 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Advanced Anesthesia Specialists A Medical Corporation (West Hills, CA) and Brigham & Womens Physicians Organization Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Vijjeswarapu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Vijjeswarapu was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.