Individual provider Active NPI

Fnu Vikash, M.D, M.MED

  • Student in an Organized Health Care Education/Training Program
  • Cleveland, OH
National Provider Identifier
1164168472
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
35.153516 Issued in OH
Practice address
9500 Euclid Ave
JJ24/Digestive Diseases Institute
Cleveland, OH 44195
Phone
(216) 445-7204
NPI assigned
May 10, 2022
Reactivated
Mar 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 35.153516 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
JJ24/Digestive Diseases Institute
Cleveland, OH 44195

Mailing address

9500 Euclid Ave
Digestive Diseases Institute
Cleveland, OH 44195
Phone (216) 445-7204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250606000799 OH Order and Referring Only - GastroenterologyPractitioner - GastroenterologyPractitioner - Internal Medicine 6204346505

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1164168472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "DIGESTIVE DISEASES INSTITUTE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-445-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "JJ24/DIGESTIVE DISEASES INSTITUTE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-445-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIKASH",
        "first_name": "FNU",
        "name_prefix": "Dr.",
        "credential": "M.D, M.MED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "deactivation_date": "2022-10-31",
        "reactivation_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "35.153516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.