Individual provider Active NPI

Vinay Kumar Juneja, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lafayette, LA
National Provider Identifier
1063865038
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
312205 Issued in LA
Practice address
5000 Ambassador Caffery Pkwy Ste a
Lafayette, LA 70508-6984
Phone
(337) 534-0952
NPI assigned
Jul 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 312205 LA Primary

Addresses

Primary practice location

5000 Ambassador Caffery Pkwy Ste a
Lafayette, LA 70508-6984

Mailing address

3209 Colonial Drive
Family Medicine Center
Columbia, SC 29203
Phone (803) 434-6113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210805000997 AL Practitioner - Emergency Medicine 1951684869 Reassigns benefits to 2 organizations
I20250102003396 TN Practitioner - Emergency Medicine 1951684869 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312205LAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden HB Medical Services LLC CurrentSince Oct 8, 2023 Accepting new patients
App of Alabama Ed PLLC CurrentSince Jul 30, 2021 Accepting new patients
Emergency Medicine Services of TN, PC CurrentSince Sep 28, 2024 Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1063865038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 COLONIAL DRIVE",
            "address_2": "FAMILY MEDICINE CENTER",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-6113",
            "fax_number": "803-434-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 AMBASSADOR CAFFERY PKWY STE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086984",
            "telephone_number": "337-534-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEJA",
        "first_name": "VINAY",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "312205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.