Individual provider Active NPI

Vijay K Sikand, M.D.

  • Internal Medicine Physician
  • Lebanon, CT
National Provider Identifier
1013914167
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026526 Issued in CT
Practice address
37 Camp Moween Rd
Lebanon, CT 06249-2704
Phone
(860) 443-7907
Fax
(860) 442-6730
NPI assigned
Jul 5, 2005
Last updated
Jul 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 026526 CT
Internal Medicine Physician 207R00000X 026526 CT Primary

Addresses

Primary practice location

37 Camp Moween Rd
Lebanon, CT 06249-2704

Mailing address

41 Heritage Rd
East Lyme, CT 06333-1109
Phone (860) 443-7907

Other identifiers 1

IdentifierTypeStateIssuer
001365263MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091120000403 CT Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Emergency MedicinePractitioner - Addiction Medicine 3971642521 Practice locations: Lebanon, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026526CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Council on Alcoholism and Drug Dependence Inc Past Accepting new patients
Southeastern Council on Alcoholism and Drug Dependence Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1013914167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HERITAGE RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331109",
            "telephone_number": "860-443-7907",
            "fax_number": "860-442-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CAMP MOWEEN RD",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "062492704",
            "telephone_number": "860-443-7907",
            "fax_number": "860-442-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKAND",
        "first_name": "VIJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "026526",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "026526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001365263",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, CT

Sources for this page

Verify at the official NPI Registry.