Individual provider Active NPI

Vinayak Nagaraja, MBBS MS MMED FRACP

  • Interventional Cardiology Physician
  • Kearney, NE
National Provider Identifier
1174185607
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
CP1119 Issued in NE
Practice address
816 22ND Ave Ste 100
Kearney, NE 68845-2226
Phone
(308) 865-2263
NPI assigned
Jul 4, 2019
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 35.140395 OH
Interventional Cardiology Physician 207RI0011X CP1119 NE Primary
Interventional Cardiology Physician 207RI0011X 68200 MN
Interventional Cardiology Physician 207RI0011X 77864-20 WI

Addresses

Primary practice location

816 22ND Ave Ste 100
Kearney, NE 68845-2226

Mailing address

816 22ND Ave Ste 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210430001464 MN Practitioner - Interventional Cardiology 0446588149 Reassigns benefits to 7 organizations
I20211115002723 WI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0446588149 Reassigns benefits to 1 organization
I20250813003284 NE Practitioner - Interventional Cardiology 0446588149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic Health System-Southwest Minnesota RegionGroup PAC ID 4688585771, shared by 6 NPIs, 658 clinicians
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

816 22ND Ave
Suite 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.140395OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-St James CurrentSince Jun 21, 2021 Accepting new patients
Bryan Hospital Kearney CurrentSince Sep 1, 2025 Accepting new patients
Mayo Clinic CurrentSince Jun 21, 2021 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Jun 21, 2021 Accepting new patients
Bryan Hospital Kearney CurrentSince Sep 1, 2025 Accepting new patients
Mayo Clinic CurrentSince Jun 21, 2021 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jun 21, 2021 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Current Accepting new patients
Mayo Clinic Health System-St James Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Current Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Nov 3, 2021 Accepting new patients
Platte Valley Medical Group, P.C. Past Accepting new patients

Locations

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951

800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808

Interoperability endpoints

  • Direct secure messaging: vnagaraja203889@hisp.bryanhealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174185607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE STE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452226",
            "telephone_number": "308-865-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE STE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452226",
            "telephone_number": "308-865-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARAJA",
        "first_name": "VINAYAK",
        "credential": "MBBS MS MMED FRACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-04",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.140395",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NE",
            "license": "CP1119",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MN",
            "license": "68200",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "77864-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.