NPIMap

Individual provider Active NPI

Prabhu D Vijayvargiya, MD

  • Pulmonary Disease Physician
  • Enid, OK
National Provider Identifier
1487705265
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
26689 Issued in OK
Practice address
615 E Oklahoma Ave Ste 208
Enid, OK 73701-5952
Phone
(814) 335-0580
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 26689 OK
Pulmonary Disease Physician 207RP1001X 26689 OK Primary

Addresses

Primary practice location

615 E Oklahoma Ave Ste 208
Enid, OK 73701-5952

Mailing address

PO Box 3885
Enid, OK 73702-3885
Phone (814) 335-0580

Other names 1

  • Prabhu D Vijayvargiya Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090501000364 OK Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5294883138 Reassigns benefits to 2 organizations
I20221227001595 TN Practitioner - Pulmonary Disease 5294883138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

615 E Oklahoma Ave
208 Springs Internal Medicine
Enid, OK 73701-5952
Phone (580) 242-3090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26689OKMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc CurrentSince Jan 1, 2023 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jan 1, 2023 Accepting new patients
St. Mary'S Physician Associates, LLC CurrentSince Nov 11, 2024 Accepting new patients
St. Mary'S Physician Associates, LLC CurrentSince Nov 11, 2024 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients

Locations

615 E Oklahoma Ave
Ste 208
Enid, OK 73701
Phone (580) 242-3090

330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700

330 S 5th St
Ste 405
Enid, OK 73701
Phone (580) 233-0595

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

725 Glenwood Dr
Ste E500
Chattanooga, TN 37404
Phone (423) 495-2635

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

Interoperability endpoints

  • Direct secure messaging: prabhuvijayvargiya@tnmhpf.allscriptsdirect.net

Organizations & group practices 7

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 8

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1487705265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3885",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737023885",
            "telephone_number": "814-335-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE STE 208",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015952",
            "telephone_number": "814-335-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYVARGIYA",
        "first_name": "PRABHU",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OK",
            "license": "26689",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "26689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRABHU",
            "last_name": "VIJAYVARGIYA",
            "middle_name": "D",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.