NPIMap

Individual provider Active NPI

Vijay Neelam

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1154736270
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
305966 Issued in LA
Practice address
3600 Florida Blvd
Internal Medicine Residency Program
Baton Rouge, LA 70806-3842
Phone
(225) 252-8349
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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 305966 LA Primary

Addresses

Primary practice location

3600 Florida Blvd
Internal Medicine Residency Program
Baton Rouge, LA 70806-3842

Mailing address

9745 Summer Glenn Ave
Baton Rouge, LA 70810-6189
Phone (225) 252-8349

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218001552 LA Practitioner - Internal Medicine 6800194341 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Louisiana Physicians, LLCGroup PAC ID 7315396355, 17 clinicians

Practice addresses (Care Compare)

524 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone (337) 436-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.29 of 100Reported as group
Quality
72.11
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305966LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Louisiana Physicians, LLC Internal Medicine CurrentSince Dec 20, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Aug 8, 2017 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Main Street Physician Services LLC CurrentSince Jul 28, 2023 Accepting new patients
Christus Health Southwestern Louisiana Past Accepting new patients
Pediatric Group of Acadiana, LLC Past Accepting new patients

Locations

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100

2000 Canal St
#C
New Orleans, LA 70112

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 6

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 9

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1154736270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 SUMMER GLENN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106189",
            "telephone_number": "225-252-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "address_2": "INTERNAL MEDICINE RESIDENCY PROGRAM",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063842",
            "telephone_number": "225-252-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELAM",
        "first_name": "VIJAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "305966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.