VIDYA JAGADEESAN (MD) – Infectious Disease Physician, NPI 1720391915

VIDYA JAGADEESAN (MD) is a healthcare provider. based in Dallas, Texas. specializing in INFECTIOUS DISEASE. They hold the professional credentials MD. They hold a License No. P25847 (MD). The NPI Number for VIDYA JAGADEESAN (MD) is 1720391915

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
VIDYA JAGADEESAN (MD)
NPI
1720391915
Phone
Not provided
Address
PO BOX 845347
Enumeration Date
16 July 2010
Last Update Date
21 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2146487740
Graduation Year
2007 (19 years ago)
PAC ID
6103077524
Group Practice PAC ID
0648188250
Professional Enrollment ID
I20231021000336
Address ID
TX752357320DA2201XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

677 INFECTIOUS DISEASE in TX

Provider Addresses for VIDYA JAGADEESAN (MD)

  • PO BOX 845347

    DALLAS, TX 752845347

    Phone:

    Type: Mailing

  • 2201 INWOOD RD

    DALLAS, TX 752357320

    Phone: (214) 645-4673

    Type: Location

  • 6565 N. CHARLES STREET PPE

    TOWSON, MD 21204

    Phone: (443) 849-2682

    Fax: (443) 849-8030

    Type: Mailing

  • 343 S 500 E

    SALT LAKE CITY, UT 841024004

    Phone: (385) 355-5433

    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: 2023-10-21

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
I20231021000336IInfectious DiseaseTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9928$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4630$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2323$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 0648188250View full group profile
NameSpecialtyState
-TX
Diagnostic RadiologyTX
Anesthesiology, Pain ManagementFL
-TX
Internal MedicineTX
-TX
U R O L O G YTX
-TX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I use this page to confirm VIDYA JAGADEESAN (MD)'s NPI?
Yes. VIDYA JAGADEESAN (MD) is listed with NPI 1720391915 in the public NPI dataset.
Is VIDYA JAGADEESAN (MD) listed as active for patients and plans?
The listing shows VIDYA JAGADEESAN (MD) as active in the NPI system.
What healthcare role does VIDYA JAGADEESAN (MD) hold?
Scheduling teams often label VIDYA JAGADEESAN (MD) under Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where is VIDYA JAGADEESAN (MD) based?
VIDYA JAGADEESAN (MD) is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
Why does VIDYA JAGADEESAN (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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