Individual provider Active NPI

Krishnaswami Vijayaraghavan, M.D.

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
National Provider Identifier
1376598151
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19683 Issued in AZ
Practice address
3099 N Civic Center PLZ
Scottsdale, AZ 85251-6903
Phone
(480) 945-3535
Fax
(480) 994-8179
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 19683 AZ Primary

Addresses

Primary practice location

3099 N Civic Center PLZ
Scottsdale, AZ 85251-6903

Mailing address

3099 N Civic Center PLZ
Scottsdale, AZ 85251-6903
Phone (480) 945-3535

Other identifiers 6

IdentifierTypeStateIssuer
2Z2051OtherAZHEALTHNET
P00187973OtherAZRAILROAD MEDICARE
1929999OtherAZUNITEDHEALTHCARE
2441047OtherAZCIGNA
7721013OtherAZAETNA
AZ0769180OtherAZBCBS AZ

Other names 1

  • Dr. Kris Vijay Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041216001031 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3971560343 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Honorhealth Internal Medicine Current Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Honorhealth CurrentSince Apr 12, 2014 Accepting new patients
Honorhealth CurrentSince Apr 12, 2014 Accepting new patients
Valley Anesthesiology Consultants, Inc. Past Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2632 N 20th St
Phoenix, AZ 85006
Phone (602) 264-6281

7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Organizations & group practices 6

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1376598151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516903",
            "telephone_number": "480-945-3535",
            "fax_number": "480-994-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516903",
            "telephone_number": "480-945-3535",
            "fax_number": "480-994-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYARAGHAVAN",
        "first_name": "KRISHNASWAMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "19683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z2051",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00187973",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "1929999",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2441047",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7721013",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ",
            "identifier": "AZ0769180",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "VIJAY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.