DR. VIDYA SOUNDARARAJAN (MD) – Obstetrics & Gynecology Physician, NPI 1053305631

DR. VIDYA SOUNDARARAJAN (MD) is a healthcare provider. based in Austell, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 047949 (GA). The NPI Number for DR. VIDYA SOUNDARARAJAN (MD) is 1053305631

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIDYA SOUNDARARAJAN (MD)
NPI
1053305631
Phone
(770) 732-5400
Address
1791 MULKEY RD
Enumeration Date
9 September 2005
Last Update Date
16 December 2019

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7707325400
Graduation Year
1995 (31 years ago)
PAC ID
5698954790
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20110121000128
Address ID
GA301061124AU1791XRDXX305

Contacts

Secure Messaging
vsoundararajan64273@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for DR. VIDYA SOUNDARARAJAN (MD)

  • 1791 MULKEY RD

    SUITE 200

    AUSTELL, GA 301061124

    Phone: (770) 732-5400

    Fax: (770) 944-0327

    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 44 Open Payments records for all available years, with a total value of $961.

Total Amount is formed as General ($961) + Research ($0) + Ownership ($0) = $961.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Astellas Pharma US Inc ($248).

Total Amount

$961

General + Research + Ownership

Payments

44

Total payment records

General Amount

$961

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

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: 2011-01-21

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
I20110121000128IObstetrics/GynecologyGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3522$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3030$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2929$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina1413$0
99212Established patient office or other outpatient visit, 10-19 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30106)

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Provider's Procedures

DR. VIDYA SOUNDARARAJAN (MD) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYGA81002Urinalysis, manual test1515

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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. VIDYA SOUNDARARAJAN (MD)'s NPI?
Yes. DR. VIDYA SOUNDARARAJAN (MD) is listed with NPI 1053305631 in the public NPI dataset.
Does the file indicate DR. VIDYA SOUNDARARAJAN (MD) is practicing under active NPI?
Directory data currently reports DR. VIDYA SOUNDARARAJAN (MD) as active.
What is DR. VIDYA SOUNDARARAJAN (MD)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. VIDYA SOUNDARARAJAN (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. VIDYA SOUNDARARAJAN (MD) serve?
DR. VIDYA SOUNDARARAJAN (MD)'s listing highlights Austell, Georgia; more addresses can appear in NPPES.
Why does DR. VIDYA SOUNDARARAJAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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