SANJEEVI VRIDHACHALAM (MD) – Diagnostic Radiology Physician, NPI 1598754459
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
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Provider Addresses for SANJEEVI VRIDHACHALAM (MD)
4330, La Jolla Village Drive, Golden Triangle, University City, San Diego, San Diego County, California, 92122, United States
SUITE 250
SAN DIEGO, CA 92122
Phone: (858) 546-3800
Fax: (858) 546-3900
Type: Mailing
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 530925078
Phone: (262) 292-3151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20080723000504 | I | Diagnostic Radiology | CA | TBD |
| I20161029000103 | I | Diagnostic Radiology | NY | TBD |
| I20190617003374 | I | Diagnostic Radiology | HI | TBD |
| I20201210001118 | I | Diagnostic Radiology | WI | TBD |
| I20210316002807 | I | Diagnostic Radiology | LA | TBD |
| I20241211002899 | I | Diagnostic Radiology | CT | TBD |
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.
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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 522 | 474 | $0 |
| 71046 | X-ray of chest, 2 views | 240 | 234 | $0 |
| 70450 | Ct scan head or brain without contrast | 202 | 194 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 127 | 125 | $0 |
| 73502 | X-ray of hip, 2-3 views | 101 | 100 | $0 |
Insurance plans in this area (ZIP 92122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | MA | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Nuclear Medicine, Diagnostic Radiology | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI |
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