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Vijaya R Chalamalasetty

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860 (904) 202-2092

PECOS Enrollment

This provider is enrolled in PECOS as VIJAYA CHALAMALASETTY.

Based on the most recent information from CMS, provider Vijaya R Chalamalasetty is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1487601209
Provider Type
Individual
Full Name
Chalamalasetty, Vijaya R
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/27/2006
Last Updated
4/18/2025

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-2092

(904) 376-4075

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME93986 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME93986 Florida

Provider Identifiers

ID	Description	Issuer
ID 188342334A	Description Medicaid	Issuer Unlisted Georgia
ID P00925338	Description Other	Issuer RR MEDICARE Florida
ID 0028318-00	Description Medicaid	Issuer Unlisted Florida

Vijaya R Chalamalasetty

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Saenz Maisonet, Jean Franc

Milian Cardoso, Oscar A

Adamo, Noor

Miranda, Daniel A

Doan, Tad C

Davis-Singletary, Leslie A

Hu, Jenny

Karmand, Arezo June

Sutskever, Regina

Kanar, Ozdemir Yusef