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DR. LAURA JANE VIDIS DO
NPI 1992382030
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
1215 LEE ST # 800904, CHARLOTTESVILLE, VA 22908(434) 924-1946(434) 924-9492 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2025, Mar 25, 2021 (2 updates tracked since 2021).

About Dr. Laura Jane Vidis Do NPPES

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

DR. LAURA JANE VIDIS DO (NPI 1992382030) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0102209133) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1992382030
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LAURA JANE VIDISCredential: DO
Location Address1215 LEE ST # 800904Charlottesville, VA 22908-0816
Mailing Address1215 Lee St # 800904Charlottesville, VA 22908-0816 · (434) 924-1946 · Fax (434) 924-9492
Phone(434) 924-1946
Fax(434) 924-9492
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1992382030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · 0102209133
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE ST # 800904, Charlottesville, VA 22908
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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. Laura Jane Vidis Do 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 ID7810399383
PECOS Enrollment IDI20260612003138, I20260612003284
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

2

Medicare enrollment records show Laura Vidis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Path LLC
481 mi
Anatomic Pathology & Clinical Pathology
3355 DOUGLAS RD
South Bend, IN 46635
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • 18 clinicians in this Medicare group
NPI 1205693728 (574) 234-4176
South Bend Medical Foundation, Inc
481 mi
Anatomic Pathology & Clinical Pathology
3355 DOUGLAS RD
South Bend, IN 46635
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • Also billed through NPI 1922623305 (Michigan)
  • 19 clinicians in this Medicare group
NPI 1649241084 (574) 234-4176

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

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.

HEIDI VAUGHAN MD
General Practice
1215 LEE ST # 800904
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-1018
MAHSA HAJIZADEH
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 800904
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1946
NGOME MAKIA
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 800904
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-1018
DR. NOURAN MUZZAFFAR M SINADA MBBCHB
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 800904
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1946
MADISON ANN KARABINUS DO
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 800904
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1946

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 Laura Vidis's NPI number?

The NPI number for Laura Vidis is 1992382030. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Laura Vidis located?

Laura Vidis practices at 1215 Lee St # 800904, Charlottesville, VA 22908. The listed phone number is (434) 924-1946.

What is Laura Vidis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Laura Vidis enrolled in Medicare?

Yes. Laura Vidis 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 Laura Vidis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Vidis reassigns Medicare benefits to 2 organizations: Legacy Path LLC (South Bend, IN) and South Bend Medical Foundation, Inc (South Bend, IN). 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 Laura Vidis'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 Laura Vidis was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.