Smitha Rao Vidi, MD - Medicare Pediatric Medicine in Dallas, TX

Smitha Rao Vidi, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Dallas, Texas. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice University Of Texas Southwestern Medical Center and her current practice location is 5323 Harry Hines Boulevard, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 456-2857.

Smitha Rao Vidi is licensed to practice in Texas (license number Q5947) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023281136.

Contact Information

Smitha Rao Vidi, MD
5323 Harry Hines Boulevard,
Dallas, TX 75390-7208
(214) 456-2857
(214) 456-5406



Physician's Profile

Full NameSmitha Rao Vidi
GenderFemale
SpecialityPediatric Medicine
Experience22 Years
Location5323 Harry Hines Boulevard, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Smitha Rao Vidi graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1023281136
  • Provider Enumeration Date: 04/09/2008
  • Last Update Date: 11/03/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4789900218
  • Enrollment ID: I20151008001164

Medical Identifiers

Medical identifiers for Smitha Rao Vidi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023281136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0210XPediatrics - Pediatric Nephrology Q5947 (Texas)Primary
208000000XPediatrics L-234741 (Massachusetts)Secondary
208000000XPediatrics MD444085 (Pennsylvania)Secondary
2080P0210XPediatrics - Pediatric Nephrology MT198930 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Childrens Medical Ctr Of DallasDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Texas Southwestern Medical Center06481882502588

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Smitha Rao Vidi allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792

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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. Smitha Rao Vidi 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
Smitha Rao Vidi, MD
P.o. Box 845347,
Dallas, TX 75284-5347

Ph: (214) 456-2857
Smitha Rao Vidi, MD
5323 Harry Hines Boulevard,
Dallas, TX 75390-7208

Ph: (214) 456-2857

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Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3438    
Ruth Osei Fordjour, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251
Phone: 214-957-4754    
Dr. Alecia Curlene Nero, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-4180    
Dr. Sravani Avula, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-730-5437    
Asif Zia Khattak, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Gaston Ave, Dallas, TX 75246
Phone: 214-820-7604    
Sadia Malik, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-2533    Fax: 214-456-8130
Sana Jamil Siddiqui, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-0488    Fax: 214-456-4486

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