Viren Vankawala, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA07979800 Issued in NJ

Practice address

54 W Jimmie Leeds Rd
Galloway, NJ 08205-9438

Phone

(609) 573-5077

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
• Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Atlanticare Physician Group, PA

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Atlanticare Physician Group

  • Primary Care Clinic/Center
  • Ventnor City, NJ
  • NPI 1194839910
  NPD (past)
• Mainland Heart Consultants

  • Cardiovascular Disease Physician
  • Galloway, NJ
  • NPI 1396762050
  NPD (past)
• Radiological Associates of Decatur

  • Diagnostic Radiology Physician
  • Springfield, IL
  • NPI 1427131127
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Atlanticare Regional Medical Center

  • General Acute Care Hospital
  • Pomona, NJ
  • NPI 1013919315
  Care Compare affiliation
• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404432000000",
    "number": "1063441145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059438",
            "telephone_number": "609-573-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059438",
            "telephone_number": "609-573-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKAWALA",
        "first_name": "VIREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07979800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1193348",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101770",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Home Care & Nursing Services
• Neerav R Trivedi
• Marina Turpen, DMD
• Waqas Ullah, M.D.
• Jeffrey E Vanhook, DO
• Vantage Eyecare, LLC
• Apollo Armando Villanoa Vergara, PHYSICAL THERAPIST
• Elaine R Vergara, PHYSICAL THERAPIST
• Village Super Market of NJ LP
• Visiting Therapist,LLC

• Cardiovascular Disease Physician in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2014; 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.

Verify at the official NPI Registry.