Vijaykumar Karumbunathan, MD
Individual provider Active NPI Internal Medicine Physician · Crisfield, MD
NPI 1174589386 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1174589386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D48098 (MD)
- Practice address
- 201 Hall Highway
Crisfield, MD 21817 - Phone
- (410) 968-1200
- Fax
- (410) 968-3005
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tidalhealth Specialty Care LLC
Tidalhealth Primary Care LLC
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 912-4976
1639 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 912-5785
Hospital & facility affiliations
- Adoration Home Health
- Tidalhealth Home Care
- Enhabit Home Health
- Coastal Hospice Inc
- Tidalhealth Peninsula Regional, Inc
- Tidalhealth Nanticoke, Inc.
- Alice Byrd Tawes Nursing Home
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Alice Byrd Tawes Nursing Home |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2020 May 9, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061219000480 | MD | Practitioner - Internal Medicine | 6608875703 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Primary Care, LLC | Current |
Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current |
Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Current |
Accepting new patients | |
| Delmarva Endoscopy Center LLC | Current |
Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Internal Medicine | Current | Accepting new patients |
| McCready Foundation, Inc | Past | Accepting new patients | |
| McCready Foundation, Inc | Past | Accepting new patients |
Locations
11101 Cathage Rd
Unit 102
Berlin, MD 21811
Phone (410) 912-6104
201 Hall Hwy
Crisfield, MD 21817
Phone (410) 968-1200
500 Market St
Ste 103
Pocomoke City, MD 21851
Phone (301) 884-5853
400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
145 E Carroll St
Ste A
Salisbury, MD 21801
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475
428 W Market St
Snow Hill, MD 21863
Phone (410) 632-0892
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D48098 | MD | Yes |
Addresses
Primary practice location
201 Hall Highway
Crisfield, MD 21817
Mailing address
201 Hall Highway
Crisfield, MD 21817
Phone (410) 968-1200
Other providers in Crisfield, MD
- Howard Mark Haft
- Rebecca Grace Ilgen
- Inspiration Health Services, LLC
- Skyler Brooke Irons
- Stephanie James
- Kevin Christopher Kearney
- Kevin Thomas DPM PC
- Kevin Thomas DPM PC
- Lower Somerset Ambulance and Rescue
- Maple Shade Youth & Family Services, Inc.
All providers in Crisfield, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.