DR. VASUNDHARA-DEVI VEMULA (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1972599405

DR. VASUNDHARA-DEVI VEMULA (M.D.) is a healthcare provider. based in Hopkinsville, Kentucky. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. C145223 (CA). The NPI Number for DR. VASUNDHARA-DEVI VEMULA (M.D.) is 1972599405

Main info

Female
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. VASUNDHARA-DEVI VEMULA (M.D.)
NPI
1972599405
Phone
(270) 839-6420
Address
4044 FORT CAMPBELL BLVD
Enumeration Date
20 September 2005
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708861919
Graduation Year
1980 (46 years ago)
PAC ID
4385806611
Group Practice PAC ID
6608833520
Professional Enrollment ID
I20120503000376
Address ID
KY422406808HO270XXWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

398 PSYCHIATRY in KY

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Provider Addresses for DR. VASUNDHARA-DEVI VEMULA (M.D.)

  • 4044, Fort Campbell Boulevard, Hopkinsville, Christian County, Kentucky, 42240, United States

    P.M.B. 313

    HOPKINSVILLE, KY 422404950

    Phone: (270) 839-6420

    Fax: (270) 906-9800

    Type: Mailing

  • Cumberland Hall, 270, Walton Way, Hopkinsville, Christian County, Kentucky, 42240, United States

    HOPKINSVILLE, KY 422406808

    Phone: (270) 887-6566

    Fax: (270) 886-1335

    Type: Location

  • 365 BUTTERFIELD RD

    SAN ANSELMO, CA 949601222

    Phone: (415) 994-9906

    Fax: (415) 295-7080

    Type: Mailing

  • 810 5TH AVE STE 100

    SAN RAFAEL, CA 949013252

    Phone: (415) 994-9906

    Fax: (415) 295-7080

    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: 2021-02-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120503000376IPsychiatryKYTBD
I20210226001814IPsychiatryCATBD

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 42240)

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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: 6608833520View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
Nurse PractitionerIN
P S Y C H I A T R YKY
P S Y C H I A T R YKY
Psychiatry, Internal MedicineTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do payers reference DR. VASUNDHARA-DEVI VEMULA (M.D.)?
For DR. VASUNDHARA-DEVI VEMULA (M.D.), use NPI 1972599405 as the unique 10-digit identifier.
Is DR. VASUNDHARA-DEVI VEMULA (M.D.) shown as active in public data?
Registry records indicate DR. VASUNDHARA-DEVI VEMULA (M.D.) maintains an active NPI.
What expertise is attributed to DR. VASUNDHARA-DEVI VEMULA (M.D.)?
DR. VASUNDHARA-DEVI VEMULA (M.D.)'s specialty line reads Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. VASUNDHARA-DEVI VEMULA (M.D.) associated with Hopkinsville?
Public fields place DR. VASUNDHARA-DEVI VEMULA (M.D.) around Hopkinsville, Kentucky. 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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