Active NPI
Anita Vijayakumar, MD
- General Practice Physician
- Milwaukee, WI
National Provider Identifier
1134208192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 50159-020
- Practice address
- 8701 W Watertown Plank Rd
Medical College of Wisconsin Department of Psychiatry
Milwaukee, WI 53226-3548 - Phone
- (414) 456-8900
- NPI assigned
- Nov 2, 2006
- Last updated
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 50159-020 | WI | Primary |
Addresses
Primary practice location
8701 W Watertown Plank Rd
Medical College of Wisconsin Department of Psychiatry
Milwaukee, WI 53226-3548
Mailing address
8701 W Watertown Plank Rd
Medical College of Wisconsin Department of Psychiatry
Milwaukee, WI 53226-3548
Phone (414) 456-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50159-020 | WI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Milwaukee | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1134208192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 W WATERTOWN PLANK RD",
"address_2": "MEDICAL COLLEGE OF WISCONSIN DEPARTMENT OF PSYCHIATRY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263548",
"telephone_number": "414-456-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 W WATERTOWN PLANK RD",
"address_2": "MEDICAL COLLEGE OF WISCONSIN DEPARTMENT OF PSYCHIATRY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263548",
"telephone_number": "414-456-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIJAYAKUMAR",
"first_name": "ANITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "50159-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.