MYTILEE VEMURI (MD) – Psychiatry Physician, NPI 1477585933

MYTILEE VEMURI (MD) is a healthcare provider. based in Stanford, California. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. A85568 (CA). The NPI Number for MYTILEE VEMURI (MD) is 1477585933

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MYTILEE VEMURI (MD)
NPI
1477585933
Phone
(650) 498-5710
Address
300 PASTEUR DR
Enumeration Date
7 July 2006
Last Update Date
28 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6507234000
Graduation Year
2002 (24 years ago)
PAC ID
0244337814
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20070515000509
Address ID
CA943041419PA401XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

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Provider Addresses for MYTILEE VEMURI (MD)

  • Stanford Hospital, 300, Pasteur Drive, Stanford, Palo Alto, Santa Clara County, California, 94305, United States

    STANFORD, CA 943052200

    Phone: (650) 498-5710

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2023-05-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($114).

Total Amount

$114

General + Research + Ownership

Payments

1

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-20

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: 2007-05-15

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
I20070515000509IPsychiatryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94305)

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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: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

How is MYTILEE VEMURI (MD) identified in CMS data?
CMS-hosted NPPES data lists MYTILEE VEMURI (MD) with NPI 1477585933.
Is MYTILEE VEMURI (MD) still practicing?
MYTILEE VEMURI (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes MYTILEE VEMURI (MD)?
For research purposes, treat MYTILEE VEMURI (MD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MYTILEE VEMURI (MD)?
MYTILEE VEMURI (MD)'s geographic hint is Stanford, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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