| NPI | 1053429829 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-29 |
| Last Updated | 2026-05-12 |
| Mailing Address | 152 Foote Ave Jamestown, NY 14701-6940 United States Phone: (716) 664-5290 | Fax: (716) 664-7630 📍 View Map |
| Primary Practice Address | 152 Foote Ave Jamestown, NY 14701-6940 United States Phone: (716) 664-5290 | Fax: (716) 664-7630 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02050080 | — |
| Other (non-Medicare) | NY | 040426003867 | FIDELIS |
| Other (non-Medicare) | NY | 0410963 | INDEPENDENT HEALTH |
| Other (non-Medicare) | NY | 161070314 | NOVA |
| Other (non-Medicare) | NY | 21017301 | UNIVERA |
| Other (non-Medicare) | NY | 52060000 | UNIVERA SR. SHOICE |
| Other (non-Medicare) | NY | 525874001 | BLUE CROSS |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | NY | 214279-1 |
| No | 207RG0300X – Internal Medicine, Geriatric Medicine | NY | 2142791 |
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About NPI 1053429829
Umamaheswara Rao Vejendla Physician Pc is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053429829. The primary specialty listed is Internal Medicine. The provider is located in Jamestown, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053429829?
NPI 1053429829 belongs to Umamaheswara Rao Vejendla Physician Pc, a Internal Medicine in Jamestown, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053429829 active?
The current status of NPI 1053429829 in the NPPES registry is Active. The record was last updated on 2026-05-12.
What specialty is NPI 1053429829?
NPI 1053429829 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053429829?
You can verify NPI 1053429829 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053429829?
The primary practice address on file for NPI 1053429829 is 152 Foote Ave, Jamestown, NY 14701-6940. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053429829 issued?
NPI 1053429829 was first issued (enumerated) on 2006-08-29. The NPPES record was last updated on 2026-05-12.
Practice Location Map
Umamaheswara Rao Vejendla Physician Pc is located at 152 Foote Ave, Jamestown, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Umamaheswara Rao Vejendla Physician Pc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053429829. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 214279-1 | NY |
| Internal Medicine, Geriatric Medicine | 2142791 | NY |