DR. VIJAYA B. NALLANI (M.D.) – Family Medicine Physician, NPI 1164429445

DR. VIJAYA B. NALLANI (M.D.) is a healthcare provider. based in Worthington, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 46594 (MN). The NPI Number for DR. VIJAYA B. NALLANI (M.D.) is 1164429445

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIJAYA B. NALLANI (M.D.)
NPI
1164429445
Phone
(507) 372-3800
Address
1680 DIAGONAL RD
Enumeration Date
1 July 2005
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2094762000
Graduation Year
1991 (35 years ago)
PAC ID
4587637236
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20110415000649
Address ID
CA952103377ST7373XLANE300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,080 FAMILY PRACTICE in MN

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Provider Addresses for DR. VIJAYA B. NALLANI (M.D.)

  • 1680, Diagonal Road, Worthington, Nobles County, Minnesota, 56187, United States

    WORTHINGTON, MN 561871008

    Phone: (507) 372-3800

    Fax: (507) 372-3806

    Type: Location

  • PO BOX 5074

    SIOUX FALLS, SD 571175074

    Phone:

    Type: Mailing

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: 2011-04-15

PECOS data refreshed: 2026-06-15

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
I20110415000649IFamily PracticeCATBD

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 56187)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

Can I verify DR. VIJAYA B. NALLANI (M.D.) with an NPI only?
You can start verification with NPI 1164429445 for DR. VIJAYA B. NALLANI (M.D.), then check state licensing separately.
Is DR. VIJAYA B. NALLANI (M.D.) listed as active for patients and plans?
The listing shows DR. VIJAYA B. NALLANI (M.D.) as active in the NPI system.
What taxonomy line describes DR. VIJAYA B. NALLANI (M.D.)?
For research purposes, treat DR. VIJAYA B. NALLANI (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. VIJAYA B. NALLANI (M.D.) on a map?
Expect Worthington, Minnesota as a primary anchor for DR. VIJAYA B. NALLANI (M.D.) unless the record lists multiple sites.
Why does DR. VIJAYA B. NALLANI (M.D.) 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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