Mara V Vijups, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0420009033 Issued in VT

Practice address

609 Washington Hwy
Morrisville, VT 05661-8652

Phone

(802) 888-5639

Fax

(802) 888-6040

NPI assigned

Oct 20, 2005

Last updated

Nov 17, 2021By the provider in NPPES

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

Other names 1

• Mara V Vijups Professional name

Medicare fee-for-service enrollment

Enrolled in VT

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

Family Practice

Education

University of Vermont College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Vermont Regional Hospital IncGroup PAC ID 3678481405, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeastern Vermont Regional Hospital Hospital, Saint Johnsbury, VT, CCN 471303

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Corner Medical

  • Primary Care Clinic/Center
  • Lyndonville, VT
  • NPI 1659459428
  Medicare reassignment Care Compare group NPD
• University of Vermont Medical Center Inc

  dba Uvm Medical Center

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615

  Family Medicine

  Medicare reassignment NPD
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Podiatry Clinic

  • Podiatrist
  • St Johnsbury, VT
  • NPI 1710631635
  NPD
• The Richford Health Center Inc

  • Family Medicine Physician
  • Alburg, VT
  • NPI 1407843543
  NPD (past)

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

• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Corner Medical

  • Primary Care Clinic/Center
  • Lyndonville, VT
  • NPI 1659459428

  Hospital

  Care Compare affiliation
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Podiatry Clinic

  • Podiatrist
  • St Johnsbury, VT
  • NPI 1710631635

  Hospital

  Care Compare affiliation
• Northeastern Vermont Regional Hospital, Inc

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1275576704
  Care Compare affiliation

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1437148475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-851-8704",
            "fax_number": "802-851-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618652",
            "telephone_number": "802-888-5639",
            "fax_number": "802-888-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Richford",
            "state": "VT",
            "postal_code": "054761153",
            "country_code": "US",
            "telephone_number": "802-255-5500",
            "fax_number": "802-255-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIJUPS",
        "first_name": "MARA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420009033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03510794",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1317",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "VIJUPS",
            "middle_name": "V",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Walgreen Co (Walgreens #18977)

• Family Medicine Physician in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.
• 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.