VIJAYALAKSHMI THOTA (DO) – Internal Medicine Physician, NPI 1972501039

VIJAYALAKSHMI THOTA (DO) is a healthcare provider. based in Palos heights, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 036088719 (IL). The NPI Number for VIJAYALAKSHMI THOTA (DO) is 1972501039

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
VIJAYALAKSHMI THOTA (DO)
NPI
1972501039
Phone
(708) 923-7874
Address
12251 S. 80TH AVENUE, SUITE 1630
Enumeration Date
12 July 2005
Last Update Date
17 February 2022

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF OSTEOPATHY
Secondary Phone
6309334800
Graduation Year
1991 (35 years ago)
PAC ID
4880644988
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20050126000902
Address ID
IL601873112WH1800XSTXX400
Telehealth
Yes
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

8,828 INTERNAL MEDICINE in IL

Provider Addresses for VIJAYALAKSHMI THOTA (DO)

  • 12251 S. 80TH AVENUE, SUITE 1630

    PALOS HEIGHTS, IL 604631256

    Phone: (708) 923-7874

    Fax: (708) 923-7876

    Type: Mailing

  • 15300 WEST AVENUE, SUITE 223

    ORLAND PARK, IL 60462

    Phone: (708) 923-7874

    Fax: (708) 923-7876

    Type: Location

  • South 80th Avenue, Palos Park, Palos Township, Cook County, Illinois, 60464, United States

    PALOS HEIGHTS, IL 604631256

    Phone: (708) 923-5173

    Fax: (708) 923-5018

    Type: Mailing

  • Palos Health Surgery Center, 15300, West Avenue, Orland Park, Orland Township, Cook County, Illinois, 60467, United States

    ORLAND PARK, IL 604624600

    Phone: (708) 923-7874

    Fax: (708) 923-7876

    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: 2005-01-26

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
I20050126000902IInternal MedicineILTBD

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 minutes888365$0
99213Established patient office or other outpatient visit, 20-29 minutes322232$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit312312$0
G0008Administration of influenza virus vaccine7474$0
90662Influenza vaccine split virus, preservative free6969$0
View full utilization report →

Insurance plans in this area (ZIP 60463)

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Provider's Procedures

VIJAYALAKSHMI THOTA (DO) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL83036Hemoglobin A1C level11272

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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

What is VIJAYALAKSHMI THOTA (DO)'s NPI number?
VIJAYALAKSHMI THOTA (DO)'s NPI is 1972501039 — the number used across U.S. healthcare to identify this provider.
Is VIJAYALAKSHMI THOTA (DO) shown as active in public data?
Registry records indicate VIJAYALAKSHMI THOTA (DO) maintains an active NPI.
What kind of doctor is VIJAYALAKSHMI THOTA (DO)?
VIJAYALAKSHMI THOTA (DO) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is VIJAYALAKSHMI THOTA (DO) associated with Palos Heights?
Public fields place VIJAYALAKSHMI THOTA (DO) around Palos Heights, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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