Active NPI
Vijay G.T. Kamineni, M.D.
- Internal Medicine Physician
- Lagrange, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01061449A
- Practice address
- 2500 N Detroit St
Lagrange, IN 46761-1158 - Phone
- (260) 463-2133
- Fax
- (260) 463-3775
- NPI assigned
- May 3, 2006
- Last updated
- Apr 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01061449A | IN | Primary |
Addresses
Primary practice location
2500 N Detroit St
Lagrange, IN 46761-1158
Mailing address
PO Box 236
Lagrange, IN 46761-0236
Phone (260) 463-2133
Other practice location 1
610 N Sawyer Rd
Kendallville, IN 46755-2566
Phone (260) 347-5592
Other practice location 2
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 266-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200821610 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 N Detroit St
Lagrange, IN 46761-1158
Phone (260) 463-2133
433 W High St
Bryan, OH 43506-1690
Phone 2604632133111
Hospital & facility affiliations
- Elara Caring
- Orthopaedic Hospital at Parkview North
- Parkview Lagrange Hospital
- Parkview Regional Medical Center
- Parkview Dekalb Hospital
- Parkview Huntington Hospital
- Parkview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.02 of 100
- Quality
- 74.88
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.92 of 100
- Quality
- 81.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01061449A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Internal Medicine Associates, PC | Internal Medicine | Current | Accepting new patients |
| Northeast Internal Medicine Associates, PC | Current | Accepting new patients |
Locations
610 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-5592
2500 N Detroit St
Lagrange, IN 46761
Phone (260) 463-2133
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
Interoperability endpoints
- vkamineni5310@direct.parkviewexchange.com
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.
-
- Internal Medicine Physician
- Lagrange, IN
- NPI 1174518500
OH
-
- Primary Care Nurse Practitioner
- Lagrange, IN
- NPI 1366859779
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview LaGrange Hospital
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- Special Hospital
- Fort Wayne, IN
- NPI 1568664613
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- Rehabilitation Hospital Unit
- Fort Wayne, IN
- NPI 1710993761
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1043278294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467610236",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N DETROIT ST",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467611158",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775"
}
],
"practiceLocations": [
{
"address_1": "610 N Sawyer Rd",
"address_purpose": "LOCATION",
"city": "Kendallville",
"state": "IN",
"postal_code": "467552566",
"country_code": "US",
"telephone_number": "260-347-5592",
"fax_number": "260-347-5155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Randallia Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468054638",
"country_code": "US",
"telephone_number": "260-266-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMINENI",
"first_name": "VIJAY",
"middle_name": "G.T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01061449A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200821610",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.