NPI Details
Vidyasagar Anmangandla, M.D. is an internal medicine in White Plains, MD with 54 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Vidyasagar Anmangandla, M.D. NPI is 1073589206. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10583 THEODORE GREEN BLVD
WHITE PLAINS MEDICAL CENTER
WHITE PLAINS, MD
ZIP 20695
Phone: (301) 934-9300
Fax: (301) 934-6963
The NPI 1073589206 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 21D0209482 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Urinalysis, manual test (HCPCS:81002)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Assessment of emotional or behavioral problems (HCPCS:96127)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
- Ultrasound of leg arteries or artery grafts (HCPCS:93925)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
- Insertion of needle into vein (3 years or older) (HCPCS:36410)
- Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Pneumococcal vaccine, 13-valent (HCPCS:90670)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
- Exam of neurobehavioral status, first hour (HCPCS:96116)
The enumeration date for this NPI number is 2/27/2006 and was last updated on 6/24/2012.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | D0026064 | MARYLAND | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | F07208 | MEDICARE UPIN | MARYLAND | |
| 2 | 769601900 | MEDICAID | MARYLAND | |
| 3 | 669Q | MEDICARE ID-TYPE UNSPECIFIED | | |
