Daniel Vijjeswarapu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K7115 Issued in TX

Practice address

3750 Commercial Ave
San Antonio, TX 78221-3117

Phone

(210) 922-7000

Fax

(210) 337-3774

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.vijjeswarapu.p1@direct.centromed.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/6945/brand/1/csg/1/fhir/r4

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.

• El Centro del Barrio, Inc.

  dba CentroMed South Park Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1538264429
  Medicare reassignment NPD
• Daniel Vijjeswarapu M.D. P.a.

  dba Kids Doc CC

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1922281641
  NPD (past) Authorized official
• El Centro del Barrio

  dba CentroMed

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1316126675
  NPD
• El Centro del Barrio, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1861211567
  NPD
• El Centro del Barrio Inc

  dba CentroMed Southside Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1104998749
  NPD (past)
• El Centro del Barrio, Inc.

  dba Dullnig House Clinic

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1154495182
  NPD (past)
• Yunus Syed, M.D., PA

  dba Kids Doc CC

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1407411465
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1407926629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-334-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-337-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJJESWARAPU",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elida Karina Vigil
• Marissa N Vigil
• Rachel Jean Vigil
• Vigor Counseling PLLC
• Dawn Theresa Vigue, OTR
• Ashley Nichole Vilano
• Crystal Vilano
• Natasha Vilanova, RBT
• Jill Ngeun Vilaythong, M.D.
• Villa de Oro Assisted Living

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.