Dr Ramesh Vidavalur, MD - Medicare Pediatrics in Ithaca, NY

Dr Ramesh Vidavalur, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Ithaca, New York. His current practice location is 101 Dates Dr, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at (607) 274-4585.

Dr Ramesh Vidavalur is licensed to practice in Maryland (license number D66840) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215119581.

Contact Information

Dr Ramesh Vidavalur, MD
101 Dates Dr,
Ithaca, NY 14850-1342
(607) 274-4585
Not Available

Map and Direction




Physician's Profile

Full NameDr Ramesh Vidavalur
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location101 Dates Dr, Ithaca, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215119581
  • Provider Enumeration Date: 11/28/2007
  • Last Update Date: 08/28/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6204010861
  • Enrollment ID: I20110406000801

Medical Identifiers

Medical identifiers for Dr Ramesh Vidavalur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215119581NPI-NPPES
03875101MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine D66840 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ramesh Vidavalur is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ramesh Vidavalur, MD
10 Fairwinds Way,
Ithaca, NY 14850-8521

Ph: () -
Dr Ramesh Vidavalur, MD
101 Dates Dr,
Ithaca, NY 14850-1342

Ph: (607) 274-4585

Reviews and Comments


Pediatrics Doctors in Ithaca, NY

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Dr. Srisatish Devapatla, M.D., FAAP
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Andrea G Torrado, MD
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Phone: 607-257-2188    Fax: 607-266-7341
Audrey H Desilva, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 10 Graham Rd W, Ithaca, NY 14850
Phone: 607-257-2188    Fax: 607-266-7341

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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