Organization Active NPI

Vik Poonai M D PC

  • Internal Medicine Physician
  • Cumberland, MD
National Provider Identifier
1013166404
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D36766 Issued in MD
Legal business name
VIK POONAI M D PC
Practice address
924 Seton Dr
Cumberland, MD 21502-1851
Phone
(301) 777-5458
Fax
(301) 777-5459
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vikramadi K Poonai, M.D.
Title
Owner
Phone
(301) 777-5458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D36766 MD Primary

Addresses

Primary practice location

924 Seton Dr
Cumberland, MD 21502-1851

Mailing address

924 Seton Dr
Cumberland, MD 21502-1851
Phone (301) 777-5458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081230000053 MD Part B Supplier - Clinic/Group Practice 6901968981 Receives reassigned benefits from 1 practitioner
Practice locations: Cumberland, MD

National Provider Directory

National Provider Directory

Locations

924 Seton Dr
Ste 2
Cumberland, MD 21502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1013166404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021851",
            "telephone_number": "301-777-5458",
            "fax_number": "301-777-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021851",
            "telephone_number": "301-777-5458",
            "fax_number": "301-777-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIK POONAI M D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "POONAI",
        "authorized_official_first_name": "VIKRAMADI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-777-5458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D36766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.