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NPI 1992858617 Dr. Vijay Kumar in Bloomington - Address, Medicare Status, and Contact
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- Internal Medicine - Endocrinology, Diabetes & Metabolism
- Illinois
- Bloomington
Dr. Vijay Kumar - 1992858617 Profile Details
Dr. Vijay Kumar is a physician based out of
Bloomington, Illinois and his medical specialization is
Internal Medicine - Endocrinology, Diabetes & Metabolism. He practices in
Bloomington, Illinois and has the professional credentials of
M.D.. The NPI Number for Dr. Vijay Kumar is
1992858617 and he holds a
License No. 4301089181 (Michigan). His current practice location address is
1701 E College Ave, , Bloomington, Illinois and he can be reached out via phone at
309-664-3800 and via fax at 309-664-3461. You can also correspond with Dr. Vijay Kumar through mail at his mailing address at 1701 E College Ave, , Bloomington, Illinois - 61704-2100 (mailing address contact number - 309-664-3800).
Dr. Vijay Kumar graduated from medical school in 1996.
Provider Profile Details: NPI Number | 1992858617 |
Provider Name | Dr. Vijay Kumar |
Credential | M.D. |
Specialization | Internal Medicine - Endocrinology, Diabetes & Metabolism, Internal Medicine |
Medical School Name | Other |
Graduation Year | 1996 |
Gender | Male |
Provider Entity Type | Individual |
Provider Enumeration Date | 01/18/2007 |
Last Update Date | 05/25/2022 |
Medicare Participation Status: Dr. Vijay Kumar participate in Medicare program. Accept Medicare Assignment? | Yes - The physician accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
PECOS PAC ID | 8123123353 |
PECOS Enrollment ID | I20110325000625 |
Provider's Legacy Identifiers: There are many medicare related identifications related to medicare providers. Medicare UPIN has been replaced by NPI and is no longer used. A PTAN is a Medicare-only number issued to providers by MACs upon enrollment to Medicare - it is also sometimes called Medicare ID or Medicare PIN. An individual provider can have more than one PTAN number but only one NPI Number.
Identifier | Identifier Type | Identifier State | Identifier Issuer |
381870664 | Other | MI | TAX ID |
7820867 | Other | AETNA |
700G360210 | Other | BCBSM GROUP PIN |
VK089181 | Other | MI | LICENSE |
1992858617 | Medicaid | MI |
1000104 | Other | MI | HEALTHPLUS OF MICHIGAN |
Group Affiliations: Organisation Name | Group PECOS PAC ID | Members |
OSF MULTI-SPECIALTY GROUP | 3678889789 | 1494 |
OSF MULTI-SPECIALTY GROUP | 3678889789 | 1494 |
Hospital Affiliations: Hospital Name | Medicare CCN of Hospital |
ST JOSEPH MEDICAL CENTER | 140162 |
SAINT JAMES HOSPITAL | 140161 |
OSF SAINT ELIZABETH MDL CTR | 140110 |
OSF SACRED HEART MEDICAL CENTER | 140093 |
Provider Business Practice Location Address Details: Address | 1701 E College Ave, |
City | Bloomington |
State | Illinois |
Zip | 61704-2100 |
Phone Number | 309-664-3800 |
Fax Number | 309-664-3461 |
Provider Business Mailing Address Details: Address | 1701 E College Ave, |
City | Bloomington |
State | Illinois |
Zip | 61704-2100 |
Phone Number | 309-664-3800 |
Fax Number | 309-664-3461 |
Provider's Primary Taxonomy Details: Type | Allopathic & Osteopathic Physicians |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Taxonomy | 207RE0101X |
Licence No. | 4301089181 (Michigan) |
Definition: | An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
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Dr. Vijay Kumar, M.D.Internal Medicine - Endocrinology, Diabetes & Metabolism
NPI Number: 1992858617Address: 1701 E College Ave, , Bloomington, IL, 61704Phone: 309-664-3800 Fax: 309-664-3461
What is a NPI Number? : The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).
Where NPI should be used? : The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. There are two categories of health care providers for NPI enumeration purposes. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses). Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers.
Who must obtain NPI? : All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations [HMOs], suppliers of durable medical equipment, pharmacies) must obtain an NPI. The NPI will be used by HIPAA-covered entities (e.g., health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. A covered health care provider, under HIPAA, is any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of Health and Human Services has adopted a standard, even if the health care provider uses a business associate to do so.
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