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VIJAYALAKSHMI S PRATHA MD
NPI 1992892707
Internal Medicine - Gastroenterology in San Diego, CA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
3330 3RD AVE STE 304, SAN DIEGO, CA 92103(619) 260-1012(619) 260-1727 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vijayalakshmi S Pratha Md NPPES

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

VIJAYALAKSHMI S PRATHA MD (NPI 1992892707) is an individual gastroenterology provider in San Diego, California, licensed in California (A51136) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1992892707
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameVIJAYALAKSHMI S PRATHACredential: MD
Location Address3330 3RD AVE STE 304San Diego, CA 92103-5639
Mailing Address3330 3rd Ave Ste 304San Diego, CA 92103-5639 · (619) 260-1012 · Fax (619) 260-1532
Phone(619) 260-1012
Fax(619) 260-1727
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1992892707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A51136
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3330 3RD AVE STE 304, San Diego, CA 92103
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Other Names 1

Professional Name (2)Vijaya S Pratha Md

Other Identifiers 1

Medicaid00A511361CA

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

Vijayalakshmi S Pratha 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 ID6103846365
PECOS Enrollment IDI20051201001052
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 Vijayalakshmi Pratha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surya, A Medical Corporation
Same address
Gastroenterology
3330 3RD AVE STE 304
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
NPI 1386889889 (619) 260-1012
On Call Specialists Medical Group Of San Diego, Inc.
0.8 mi
Specialist
4077 FIFTH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
NPI 1962175836 (619) 294-8111
Emergency And Acute Care Medical Corporation
4.1 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400

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 8

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.

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.
215 services90 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
30 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 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.
15 services15 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier43 claims1,931 services$11.25 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier41 claims281 services$280.31 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier35 claims239 services$8.00 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier36 claims246 services$25.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SURYA, A MEDICAL CORPORATION
Internal Medicine (Gastroenterology)
3330 3RD AVE STE 304
SAN DIEGO, CA 92103
San Diego County (619) 260-1012

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 Vijayalakshmi Pratha's NPI number?

The NPI number for Vijayalakshmi Pratha is 1992892707. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Vijaya S Pratha MD.

Where is Vijayalakshmi Pratha located?

Vijayalakshmi Pratha practices at 3330 3rd Ave Ste 304, San Diego, CA 92103. The listed phone number is (619) 260-1012.

What is Vijayalakshmi Pratha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vijayalakshmi Pratha enrolled in Medicare?

Yes. Vijayalakshmi Pratha 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 Vijayalakshmi Pratha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijayalakshmi Pratha reassigns Medicare benefits to 3 organizations: Surya, A Medical Corporation (San Diego, CA), On Call Specialists Medical Group Of San Diego, Inc. (San Diego, CA) and Emergency And Acute Care Medical Corporation (San Diego, CA). 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 Vijayalakshmi Pratha'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 Vijayalakshmi Pratha was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.