DR. VIJAY MANDYAM (DPM) – Podiatrist, NPI 1174618672
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,833 PODIATRY in CA
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Provider Addresses for DR. VIJAY MANDYAM (DPM)
43713 20TH ST W STE 5
LANCASTER, CA 935344628
Phone: (661) 945-8700
Fax: (661) 945-8757
Type: Mailing
43713, 20th Street West, Lancaster, Los Angeles County, California, 93534, United States
STE 3
LANCASTER, CA 935344628
Phone: (661) 945-8700
Fax: (661) 945-8757
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $425.
Total Amount is formed as General ($425) + Research ($0) + Ownership ($0) = $425.
Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Anika Therapeutics, Inc. ($388).
Total Amount
$425
General + Research + Ownership
Payments
2
Total payment records
General Amount
$425
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Anika Therapeutics, Inc. | $388 |
| Organogenesis Inc. | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (832 days ago).
Enrollment records
2
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100902000608 | I | Podiatry | CA | TBD |
| O20100930057390 | O | Physician - Podiatry | CA | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 1,114 | 307 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 994 | 344 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 733 | 325 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 116 | 88 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 88 | 83 | $0 |
Insurance plans in this area (ZIP 93534)
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