Individual provider Active NPI

Vigneswaran Kandiah, MD

  • Internal Medicine Physician
  • Clinton, NY
National Provider Identifier
1124017249
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
208794-1 Issued in NY
Practice address
101 College St
Clinton, NY 13323-1634
Phone
(315) 853-5532
Fax
(315) 853-1003
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 208794-1 NY Primary

Addresses

Primary practice location

101 College St
Clinton, NY 13323-1634

Mailing address

101 College St
Clinton, NY 13323-1634
Phone (315) 853-5532

Other identifiers 2

IdentifierTypeStateIssuer
02099241MedicaidNY
P00048558OtherNYRRMCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20031212000447 NY Practitioner - Internal Medicine 9537065438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

101 College St
Clinton, NY 13323-1634
Phone (315) 853-5532

Hospital & facility affiliations

  • Vna Utica and Oneida Co Chha Home health agency, Utica, NY, CCN 337078
  • Acacia Certified Home Care Co Home health agency, Utica, NY, CCN 337423
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208794-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Dec 14, 2015 Accepting new patients
MVHS Inc CurrentSince Dec 14, 2015 Accepting new patients

Locations

101 College St
Clinton, NY 13323
Phone (315) 853-5532

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

Interoperability endpoints

  • Direct secure messaging: vkandiah13498@mvhealthsystem.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1124017249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLLEGE ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231634",
            "telephone_number": "315-853-5532",
            "fax_number": "315-853-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLLEGE ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231634",
            "telephone_number": "315-853-5532",
            "fax_number": "315-853-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDIAH",
        "first_name": "VIGNESWARAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208794-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02099241",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00048558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

Verify at the official NPI Registry.