Individual provider Active NPI

Vijaya Arun Kumar, M.D.

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1306050786
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301089671 Issued in MI
Practice address
4201 St. Antione Uhc 5D
University Pediatricians
Detroit, MI 48201
Phone
(313) 745-5260
Fax
(313) 993-7166
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301089671 MI Primary
Emergency Medicine Physician 207P00000X 003053 NY

Addresses

Primary practice location

4201 St. Antione Uhc 5D
University Pediatricians
Detroit, MI 48201

Mailing address

1150 Berkshire Rd
Grosse Pointe Park, MI 48230-1341
Phone (412) 805-5449

Other names 1

  • Dr. Arun Kumar Vijaya Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130124000257 MI Practitioner - Emergency MedicinePractitioner - Family Practice 3476649351 Reassigns benefits to 3 organizations
I20130430000499 OH Practitioner - Emergency MedicinePractitioner - Family Practice 3476649351 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Emergency Services CurrentSince Jan 1, 2013 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
University Pediatricians CurrentSince Nov 1, 2014 Accepting new patients
Medical Center Emergency Services CurrentSince Jan 1, 2013 Accepting new patients
University Pediatricians CurrentSince Nov 1, 2014 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Feb 1, 2015 Accepting new patients
Exigence, LLC Past Accepting new patients
Phillips Emergency Group LLC Emergency Medicine Past Accepting new patients
Exigence Medical of Olean, PLLC Past Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

4201 Saint Antoine St
Ste 226
Detroit, MI 48201
Phone (313) 966-2064

4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

Interoperability endpoints

  • Direct secure messaging: vkumar@direct.dmc.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1306050786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BERKSHIRE RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301341",
            "telephone_number": "412-805-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTIONE UHC 5D",
            "address_2": "UNIVERSITY PEDIATRICIANS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-5260",
            "fax_number": "313-993-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "VIJAYA",
        "middle_name": "ARUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301089671",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "003053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARUN",
            "last_name": "VIJAYA",
            "middle_name": "KUMAR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.