Vijay Veerula, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11021688A Issued in IN

Practice address

3919 W Jefferson Blvd Ste 1
Fort Wayne, IN 46804-6811

Phone

(260) 436-7722

Fax

(260) 459-0012

NPI assigned

Jun 15, 2021

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

Medicare fee-for-service enrollment

Enrolled in IN

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

Family Practice

Education

Liberty Univ College of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adams County Memorial HospitalGroup PAC ID 0941198253, 85 clinicians

Jefferson Park Pediatrics P CGroup PAC ID 2961748991, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adams Heritage Nursing home, Monroeville, IN, CCN 155729

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHJJCD/Endpoint/BHJJCD

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.

• Adams County Memorial Hospital

  • Critical Access Hospital
  • Decatur, IN
  • NPI 1689696148
  Medicare reassignment Care Compare group NPD
• Jefferson Park Pediatrics P C

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1629263181

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Hospitalist Physicians of Indiana, PC

  • Hospitalist Physician
  • Fort Wayne, IN
  • NPI 1306576277

  Family Medicine

  Medicare reassignment NPD
• Adams County Memorial Hospital

  • Skilled Nursing Facility
  • Liberty, IN
  • NPI 1619176641
  NPD
• Jefferson Pediatrics, PC

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1134542855
  NPD (past)

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

• Adams County Memorial Hospital

  • Nursing Facility/Intermediate Care Facility
  • Monroeville, IN
  • NPI 1760519268

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1114595394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 W JEFFERSON BLVD STE 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046811",
            "telephone_number": "260-436-7722",
            "fax_number": "260-459-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 W JEFFERSON BLVD STE 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046811",
            "telephone_number": "260-436-7722",
            "fax_number": "260-459-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERULA",
        "first_name": "VIJAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11021688A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Newton Veerkamp, DMD
• Gregory W Veerkamp, MD
• Mary Pat Veerkamp, MD
• Patrick M. Veerkamp, M.D.
• Giridhar Rao Veerula
• Suresh Kumar Varma Vegesana, D.D.S.
• Satish RC Velagapudi, M.D.
• John Michael Velasquez
• Kera Velazquez, FNP-BC
• Mikayla Velazquez

• Family Medicine Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.