VIVIAN A NZEDU (MD) – Pediatrics Physician, NPI 1659349975
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VIVIAN A NZEDU (MD)
1122, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States
ORI236
OKLAHOMA CITY, OK 731171039
Phone: (405) 271-1515
Type: Mailing
PO BOX 60447
CHARLOTTE, NC 282600447
Phone:
Type: Mailing
940 NE 13th St
1B1206
Oklahoma City, OK 731045008
Phone: (405) 271-4881
Type: Location
1850 Town Center Pkwy
Reston, VA 201903204
Phone: (240) 686-2300
Type: Location
9430 FORESTWOOD LN STE 100
MANASSAS, VA 201104754
Phone: (703) 365-0227
Fax: (703) 365-0332
Type: Location
Nicholson Tower, 940, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States
1B1206
OKLAHOMA CITY, OK 731045008
Phone: (405) 271-4881
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: 2009-10-16
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 |
|---|---|---|---|---|
| I20091013000235 | I | Pediatric Medicine | DC | TBD |
| I20091016000562 | I | Pediatric Medicine | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73117)
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