NPIMap

Individual provider Active NPI

Vijaykumar Karumbunathan, MD

  • Internal Medicine Physician
  • Crisfield, MD
National Provider Identifier
1174589386
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D48098 Issued in MD
Practice address
201 Hall Highway
Crisfield, MD 21817
Phone
(410) 968-1200
Fax
(410) 968-3005
NPI assigned
Apr 25, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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 D48098 MD Primary

Addresses

Primary practice location

201 Hall Highway
Crisfield, MD 21817

Mailing address

201 Hall Highway
Crisfield, MD 21817
Phone (410) 968-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20061219000480 MD Practitioner - Internal Medicine 6608875703 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 7113340845, 375 clinicians
Tidalhealth Primary Care LLCGroup PAC ID 7911320635, 63 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Primary Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Internal Medicine Current Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Delmarva Endoscopy Center LLC CurrentSince Mar 1, 2020 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

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
Salisbury, MD 21801
Phone (410) 546-0300

145 E Carroll St
Ste A
Salisbury, MD 21801

1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

428 W Market St
Snow Hill, MD 21863
Phone (410) 543-4715

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alice Byrd Tawes Nursing HomeCrisfield, MD, CCN 215058 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2020
May 9, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1174589386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HALL HIGHWAY",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "21817",
            "telephone_number": "410-968-1200",
            "fax_number": "410-968-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HALL HIGHWAY",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "21817",
            "telephone_number": "410-968-1200",
            "fax_number": "410-968-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARUMBUNATHAN",
        "first_name": "VIJAYKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D48098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crisfield, MD

Sources for this page

Verify at the official NPI Registry.