Active NPI
Vivek C. Vaid MD PA
- Family Medicine Physician
- Hyattsville, MD
National Provider Identifier
1245405034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VIVEK C. VAID MD PA
- Practice address
- 3311 Toledo Ter Ste B102
Hyattsville, MD 20782-8146 - Phone
- (301) 559-3500
- Fax
- (301) 853-2362
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vivek C Vaid, M.D.
- Title
- Owner
- Phone
- (301) 559-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3311 Toledo Ter Ste B102
Hyattsville, MD 20782-8146
Mailing address
10509 Alloway Dr
Potomac, MD 20854-1662
Phone (301) 299-8924
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116051600 | Medicaid | MD | |
| G00838 | Other | DC | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hyattsville, MD
- NPI 1285892117
DC, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275868800000",
"number": "1245405034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10509 ALLOWAY DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541662",
"telephone_number": "301-299-8924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 TOLEDO TER STE B102",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207828146",
"telephone_number": "301-559-3500",
"fax_number": "301-853-2362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVEK C. VAID MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2010-06-07",
"status": "A",
"authorized_official_last_name": "VAID",
"authorized_official_first_name": "VIVEK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-559-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116051600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "G00838",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.