Vijaya Kavikondala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M2666 Issued in TX

Practice address

14131 Midway Rd
Suite 620
Addison, TX 75001-3623

Phone

(972) 249-0200

Fax

(972) 249-0206

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ipc Pac Healthcare Services of Texas PLLC 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Settlers Ridge Care Center Nursing home, Celina, TX, CCN 675969
• The Park in Plano Nursing home, Plano, TX, CCN 675113
• Life Care Center of Plano Nursing home, Plano, TX, CCN 455864
• Baybrooke Village Care and Rehab Center Nursing home, McKinney, TX, CCN 676096

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Plano, TX
  • NPI 1376972984

  Adp of the SNF

  CMS ownership

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.

• Ipc Pac Healthcare Services of Texas PLLC

  • Hospitalist Physician
  • Addison, TX
  • NPI 1194174201

  Internal Medicine, TX

  Medicare reassignment Care Compare group NPD
• CS Pacs 3 Southwest, LLC

  • Hospitalist Physician
  • Baytown, TX
  • NPI 1275398430

  Internal Medicine, TX

  Medicare reassignment NPD
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429

  Internal Medicine, TX

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  TX

  Medicare reassignment NPD
• Diagnostic Associates of North Texas PA

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1689600322

  Internal Medicine

  NPD (past)
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Plano, TX
  • NPI 1376972984
  NPD (past)
• Hamilton County Hospital District

  • Skilled Nursing Facility
  • McKinney, TX
  • NPI 1225372972
  NPD (past)
• Plano Skilled Operations, LLC

  • Skilled Nursing Facility
  • Plano, TX
  • NPI 1487687471
  NPD (past)
• South Limestone Hospital District

  • Skilled Nursing Facility
  • Celina, TX
  • NPI 1295768927
  NPD (past)
• South Limestone Hospital District

  • Skilled Nursing Facility
  • McKinney, TX
  • NPI 1669490496
  NPD (past)

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

• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Plano, TX
  • NPI 1376972984

  Nursing home

  Care Compare affiliation
• Plano Skilled Operations, LLC

  • Skilled Nursing Facility
  • Plano, TX
  • NPI 1487687471

  Nursing home

  Care Compare affiliation
• South Limestone Hospital District

  • Skilled Nursing Facility
  • Celina, TX
  • NPI 1295768927

  Nursing home

  Care Compare affiliation
• South Limestone Hospital District

  • Skilled Nursing Facility
  • McKinney, TX
  • NPI 1669490496

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1437129236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD",
            "address_2": "SUITE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013623",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD",
            "address_2": "SUITE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013623",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVIKONDALA",
        "first_name": "VIJAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177877102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177877101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Jung, DPT
• Mita Harish Kalidas
• Shannon Amber Kallsen, M.S.
• Kelly Johnson Kampf, MS, MPH, CGC
• Hannah Kang
• Gloria Kaye Kendall, NP
• Elizabeth Blair Kenney, PSY.D.
• Patricia Kern-Butler, P.A.-C
• Sakina Khan
• Shabaz Ali Khan, MD

• All providers in Addison, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.