Individual provider Active NPI

Vijaya N. Koka, M.D.

  • Cardiovascular Disease Physician
  • Ocala, FL
National Provider Identifier
1467436212
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME78160 Issued in FL
Practice address
2111 SW 20TH PL
Ocala, FL 34471-7734
Phone
(352) 622-4251
Fax
(352) 622-0102
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME78160 FL Primary

Addresses

Primary practice location

2111 SW 20TH PL
Ocala, FL 34471-7734

Mailing address

2111 SW 20TH PL
Ocala, FL 34471
Phone (352) 622-4251

Other identifiers 3

IdentifierTypeStateIssuer
269021700MedicaidFL
46498YOtherFLMEDICARE
46498OtherMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20070412000626 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749385128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2105 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78160FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of Central Florida, LLC CurrentSince Jan 1, 2007 Accepting new patients
Cardiovascular Institute of Central Florida, LLC Cardiovascular Disease CurrentSince Jan 1, 2007 Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients

Locations

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: vijaya.koka.1@29679.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1467436212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717734",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKA",
        "first_name": "VIJAYA",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME78160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269021700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "46498Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "46498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.