Rajiv Vij MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RAJIV VIJ MD PA

Practice address

103 W Loop 281 Ste 474
Longview, TX 75605-4603

Phone

(903) 918-8978

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Purnima Kumar

Title

Administrator

Phone

(469) 231-5085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, LA2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Denise Hodge, AGACNP

  • Acute Care Nurse Practitioner
  • Longview, TX
  • NPI 1821526146
  Medicare reassignment NPD
• Rajiv Shamsher Bahadur Vij, M.D.

  • Nephrology Physician
  • Longview, TX
  • NPI 1386814226

  LA

  Medicare reassignment NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1306681077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 STONERIDGE TRL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052725",
            "telephone_number": "903-918-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W LOOP 281 STE 474",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054603",
            "telephone_number": "903-918-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJIV VIJ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PURNIMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-231-5085"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Diagnostics
• Sarah Jane Radulescu, MA, LPC-S
• Aiyan Ur Rahman, DO
• Amanda Raibourn, LCSW
• Sarah Rainer, MS,CCC/SLP
• Donna Rakidzich, LPC
• Katherine S. Ramey, LPC
• Janee Karis Ramirez, LPC
• Candice Renee Ramos, LCSW
• Jocelan Ramsey, P.N.P.

• Nephrology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.

Verify at the official NPI Registry.