Active NPI
Ajay Vaikuntam, M.D.
- Internal Medicine Physician
- Midland, TX
National Provider Identifier
1447415476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BP10030959
- Practice address
- 400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846 - Phone
- (432) 221-1111
- NPI assigned
- Jul 18, 2008
- Last updated
- Sep 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10030959 | TX | Primary |
Addresses
Primary practice location
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Mailing address
4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 686-6605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q2959 | Other | TX | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ajay.Vaikuntam@midlandhealth.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.02 of 100
- Quality
- 21.7
- Improvement activities
- 40
- Cost
- 76.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10030959 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| MMH Physicians | Current | Accepting new patients | |
| Midland County Hospital District | Past | Accepting new patients |
Locations
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850
4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605
Interoperability endpoints
- ajay.vaikuntam@midlandhealth.cernerdirect.com
Organizations & group practices 3
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.
-
dba Midland Inpatient Medical Associates
- Hospitalist Physician
- Midland, TX
- NPI 1851764963
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1447415476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 ANDREWS HWY STE 240",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797034817",
"telephone_number": "432-686-6605",
"fax_number": "432-682-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ROSALIND REDFERN GROVER PKWY",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797015846",
"telephone_number": "432-221-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIKUNTAM",
"first_name": "AJAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-18",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10030959",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "Q2959",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ajay.Vaikuntam@midlandhealth.cernerdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Rosalind Redfern Grover Pkwy",
"city": "Midland",
"state": "TX",
"country_code": "US",
"postal_code": "797015846",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.