VIJAYASIMHA REDDY POTHULA (MD) – Anesthesiology Physician, NPI 1083852248
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
556 ANESTHESIOLOGY in IA
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Provider Addresses for VIJAYASIMHA REDDY POTHULA (MD)
4150, Kimball Avenue, Waterloo, Black Hawk County, Iowa, 50701, United States
PO BOX 2758
WATERLOO, IA 507019086
Phone: (319) 235-5390
Fax: (319) 233-1630
Type: Mailing
Allen Hospital, 1825, Logan Avenue, Waterloo, Black Hawk County, Iowa, 50703, United States
WATERLOO, IA 507031916
Phone: (319) 235-5386
Fax: (319) 235-3074
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Glaukos Corporation ($40).
Total Amount
$55
General + Research + Ownership
Payments
3
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $40 |
| Alcon Vision LLC | $14 |
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: 2023-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160503001112 | I | Anesthesiology | MD | TBD |
| I20231025003758 | I | Anesthesiology | NJ | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 173 | 167 | $0 |
| 00140 | Anesthesia for other procedure on eye | 20 | 20 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 17 | 16 | $0 |
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 16 | 16 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 15 | 14 | $0 |
Insurance plans in this area (ZIP 50701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | IA | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | NJ | |
| Gastroenterology, Internal Medicine | NJ | |
| G A S T R O E N T E R O L O G Y | NY | |
| Gastroenterology, Internal Medicine | NJ | |
| - | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| Nurse Practitioner | NJ | |
| Gastroenterology, Internal Medicine | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| Gastroenterology, Internal Medicine | NJ |
Reviews
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