Active NPI
Vijay K Sikand, M.D.
- Internal Medicine Physician
- Lebanon, CT
National Provider Identifier
1013914167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 026526
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001365263 | Medicaid | CT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091120000403 | CT | Practitioner - Family Practice | 3971642521 | Practice locations: Lebanon, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026526 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba SCADD Inc
- Substance Abuse Rehabilitation Facility
- Lebanon, CT
- NPI 1003960022
-
dba Scadd
- Primary Care Clinic/Center
- New London, CT
- NPI 1750256806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.