NPIMap

Individual provider Active NPI

Vijay K Nayak, MD

  • Otolaryngology Physician
  • Chelmsford, MA
National Provider Identifier
1083602163
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
223730 Issued in MA
Practice address
3 Meeting House Rd
Suite 24
Chelmsford, MA 01824-2738
Phone
(978) 256-5557
Fax
(978) 256-1835
NPI assigned
Oct 12, 2005
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 223730 MA Primary

Addresses

Primary practice location

3 Meeting House Rd
Suite 24
Chelmsford, MA 01824-2738

Mailing address

3 Meeting House Rd
Suite 24
Chelmsford, MA 01824-2738
Phone (978) 256-5557

Other identifiers 2

IdentifierTypeStateIssuer
2101467MedicaidMA
J28615OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050706000698 MA Practitioner - Otolaryngology 6406892967 Reassigns benefits to 2 organizations
I20111223000045 NH Practitioner - Otolaryngology 6406892967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts ENT Associates IncGroup PAC ID 6305891110, 20 clinicians

Practice addresses (Care Compare)

280 Main St
Suite 140
Nashua, NH 03060-2920
Phone (603) 594-3025

321 Billerica Rd
Suite 202
Chelmsford, MA 01824-4100
Phone (978) 256-5557

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Ear Nose and Throat Associates 2 LLC Otolaryngology CurrentSince Jul 1, 2022 Accepting new patients
Northridge Surgical Suites, LLC Past Accepting new patients
Massachusetts Ear Nose and Throat Associates 4 LLC Otolaryngology PastSince Nov 1, 2014 Accepting new patients

Locations

321 Billerica Rd
Ste 202
Chelmsford, MA 01824
Phone (978) 256-5557

747 Main St
Ste 214
Concord, MA 01742
Phone (978) 256-5557

Interoperability endpoints

  • Direct secure messaging: vnayak31435@tuftsmedicine.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1083602163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEETING HOUSE RD",
            "address_2": "SUITE 24",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242738",
            "telephone_number": "978-256-5557",
            "fax_number": "978-256-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEETING HOUSE RD",
            "address_2": "SUITE 24",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242738",
            "telephone_number": "978-256-5557",
            "fax_number": "978-256-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "VIJAY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "223730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101467",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J28615",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.