Individual provider Active NPI

Vishesh Kumar, M.D.

  • Interventional Cardiology Physician
  • Vancouver, WA
National Provider Identifier
1376790758
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD61067710 Issued in WA
Practice address
700 NE 87TH Ave Ste 210
Vancouver, WA 98664-4896
Phone
(360) 882-2778
Fax
(360) 604-1753
NPI assigned
Aug 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD61067710 WA
Cardiovascular Disease Physician 207RC0000X R2738 NH
Cardiovascular Disease Physician 207RC0000X MD191738 OR
Interventional Cardiology Physician 207RI0011X MD191738 OR
Interventional Cardiology Physician 207RI0011X MD61067710 WA Primary

Addresses

Primary practice location

700 NE 87TH Ave Ste 210
Vancouver, WA 98664-4896

Mailing address

PO Box 4825
Portland, OR 97208-4825
Phone (360) 882-2778

Other practice location 1

1 Medical Center Dr
DHMC Division of Cardiology
Lebanon, NH 03756-1000
Phone (603) 650-5077

Other practice location 2

1 Medical Center Dr
DHMC Division of Cardiology
Lebanon, NH 03756-1000
Phone (603) 650-5077

Other practice location 3

9427 SW Barnes Rd Ste 495
Portland, OR 97225
Phone (503) 216-0790

Other identifiers 1

IdentifierTypeStateIssuer
2130490MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vkumar1034813@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20190611001616 OR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5597935338 Reassigns benefits to 2 organizations
I20200821001414 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 5597935338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778

Hospital & facility affiliations

  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050
  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2738NHMDPharmacist
MD191738ORMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2019 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Sep 14, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2019 Accepting new patients
The Vancouver Clinic Inc PS Cardiovascular Disease CurrentSince Sep 14, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2019 Accepting new patients
Peacehealth Past Accepting new patients
The Vancouver Clinic Pharmacy Past Accepting new patients

Locations

9155 SW Barnes Rd
Ste 638
Portland, OR 97225
Phone (503) 216-7000

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

9427 SW Barnes Rd
Ste 495
Portland, OR 97225
Phone (503) 216-0900

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

700 NE 87th Ave
Ste 210
Vancouver, WA 98664

Interoperability endpoints

  • Direct secure messaging: vkumar1034813@oc.providencedirect.org
  • Direct secure messaging: vkumar16770@tvc-direct.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1376790758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4825",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084825",
            "telephone_number": "360-882-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE 87TH AVE STE 210",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644896",
            "telephone_number": "360-882-2778",
            "fax_number": "360-604-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC Division of Cardiology",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5077",
            "fax_number": "603-650-0523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC Division of Cardiology",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5077",
            "fax_number": "603-650-0523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9427 SW Barnes Rd Ste 495",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97225",
            "country_code": "US",
            "telephone_number": "503-216-0790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "VISHESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD61067710",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "R2738",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD191738",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD191738",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD61067710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130490",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkumar1034813@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9155 SW Barnes Rd Ste 638",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.