MRS. VIJAYA DUDYALA (M.D) – Internal Medicine Physician, NPI 1477522589

MRS. VIJAYA DUDYALA (M.D) is a healthcare provider. based in Fremont, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. A79466 (CA). The NPI Number for MRS. VIJAYA DUDYALA (M.D) is 1477522589

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. VIJAYA DUDYALA (M.D)
NPI
1477522589
Phone
(510) 248-1018
Address
39141 CIVIC CENTER DR., SUITE 220
Enumeration Date
14 March 2006
Last Update Date
11 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4088713400
Graduation Year
1994 (32 years ago)
PAC ID
7113995127
Group Practice PAC ID
6103115183
Professional Enrollment ID
I20040917000843
Address ID
CA951282930SA828XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for MRS. VIJAYA DUDYALA (M.D)

  • 39141 CIVIC CENTER DR., SUITE 220

    FREMONT, CA 94538

    Phone: (510) 248-1018

    Fax: (510) 608-6055

    Type: Mailing

  • 828 S WINCHESTER BLVD

    SAN JOSE, CA 951282930

    Phone: (408) 866-4000

    Fax: (408) 866-3999

    Type: Location

  • Nakamura Clinic, 33077, Alvarado-Niles Road, Decoto, Union City, Alameda County, California, 94587, United States

    UNION CITY, CA 94587

    Phone: (510) 248-1500

    Fax: (510) 675-0846

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $303.

Total Amount is formed as General ($303) + Research ($0) + Ownership ($0) = $303.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($122).

Total Amount

$303

General + Research + Ownership

Payments

5

Total payment records

General Amount

$303

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040917000843IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6350$0
99215Established patient office or other outpatient visit, 40-54 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 94538)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103115183View full group profile

Reviews

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Frequently asked questions

Can I verify MRS. VIJAYA DUDYALA (M.D) with an NPI only?
You can start verification with NPI 1477522589 for MRS. VIJAYA DUDYALA (M.D), then check state licensing separately.
Can I rely on MRS. VIJAYA DUDYALA (M.D) being an active provider?
As of the registry snapshot, MRS. VIJAYA DUDYALA (M.D) is marked active.
What is MRS. VIJAYA DUDYALA (M.D)'s specialty?
The listing groups MRS. VIJAYA DUDYALA (M.D) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. VIJAYA DUDYALA (M.D)?
MRS. VIJAYA DUDYALA (M.D)'s geographic hint is Fremont, California in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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