Individual provider Active NPI

Vikram J Doraiswamy, M.D.

  • Nephrology Physician
  • Rockville, MD
National Provider Identifier
1427468487
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0096985 Issued in MD
Practice address
1201 Seven Locks Rd Ste 200
Rockville, MD 20854-2960
Phone
(301) 907-4646
Fax
(301) 907-7796
NPI assigned
Apr 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 269250 MA
Nephrology Physician 207RN0300X D0096985 MD Primary

Addresses

Primary practice location

1201 Seven Locks Rd Ste 200
Rockville, MD 20854-2960

Mailing address

1201 Seven Locks Rd Ste 200a
Rockville, MD 20854-2931
Phone (301) 907-3939

Other practice location 1

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-2219

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vdoraiswamy38616@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC2 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
I20170110002252 MA Practitioner - Nephrology 7618258484 Reassigns benefits to 1 organization
I20230605000241 DC Practitioner - NephrologyPractitioner - Internal Medicine 7618258484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Nephrology Associates LLPGroup PAC ID 8527951318, 31 clinicians

Practice addresses (Care Compare)

1201 Seven Locks Rd
Suite 200
Rockville, MD 20854-2960
Phone (301) 907-4646

Hospital & facility affiliations

  • DaVita Germantown Dialysis Dialysis facility, Germantown, MD, CCN 212638
  • Fresenius Kidney Care Germantown Dialysis facility, Germantown, MD, CCN 212730
  • DaVita Rockville Dialysis Center Dialysis facility, Rockville, MD, CCN 212511
  • DaVita Rock Creek Dialysis Dialysis facility, Rockville, MD, CCN 212678
  • DaVita Middlebrook Dialysis Dialysis facility, Germantown, MD, CCN 212625
  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022
  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065
  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018
  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0096985MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince Jun 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Dec 5, 2016 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Dec 5, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

12850 Middlebrook Rd
Ste 209
Germantown, MD 20874
Phone (301) 907-4646

1201 Seven Locks Rd
Ste 200A
Rockville, MD 20854

1201 Seven Locks Rd
Ste 200
Rockville, MD 20854
Phone (301) 652-5771

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

Interoperability endpoints

  • Direct secure messaging: vdoraiswamy38616@direct.southcoast.org
  • Direct secure messaging: vdoraiswamy56764@direct.acumenmd.com

Organizations & group practices 4

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1427468487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD STE 200A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542931",
            "telephone_number": "301-907-3939",
            "fax_number": "301-656-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542960",
            "telephone_number": "301-907-4646",
            "fax_number": "301-907-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairhaven",
            "state": "MA",
            "postal_code": "027195208",
            "country_code": "US",
            "telephone_number": "508-973-2219",
            "fax_number": "508-973-0395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORAISWAMY",
        "first_name": "VIKRAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "269250",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0096985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdoraiswamy38616@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "208 Mill Rd",
            "city": "Fairhaven",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027195208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.