Individual provider Active NPI

Vijayakumar Alla, M.D

  • Internal Medicine Physician
  • Astoria, NY
National Provider Identifier
1598748592
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211067 Issued in NY
Practice address
2802 Crescent St
Astoria, NY 11102-3141
Phone
(718) 278-6666
NPI assigned
Nov 22, 2005
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211067 NY Primary

Addresses

Primary practice location

2802 Crescent St
Astoria, NY 11102-3141

Mailing address

814 E 156TH St
Bronx, NY 10455-1714
Phone (718) 665-0223

Other identifiers 1

IdentifierTypeStateIssuer
01914447MedicaidNY

Other names 1

  • Vijayakumar Alla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050228001048 NY Practitioner - Internal Medicine 2062465271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical Healthcare Associates PLLCGroup PAC ID 9032541768, 10 clinicians

Practice addresses (Care Compare)

814 E 156TH St
Bronx, NY 10455-1714
Phone (718) 665-0223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical Healthcare Associates PLLC Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Shirish Patel Medical P.C. PastSince Dec 2, 2010 Accepting new patients
Queens Bronx Medical P.C Internal Medicine PastSince Dec 1, 2003 Accepting new patients
Lifeco Medical, P.C. Past Accepting new patients

Locations

2742 3rd Ave
Bronx, NY 10455
Phone (718) 576-5049

814 E 156th St
Bronx, NY 10455
Phone (718) 665-0223

2802 Crescent St
Long Island City, NY 11102
Phone (718) 278-6666

3410 Broadway
New York, NY 10031
Phone (201) 299-4758

3418 Broadway
Ofc 2
New York, NY 10031
Phone (212) 927-0013

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: vijaykumar.alla@cmhap.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1598748592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 E 156TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551714",
            "telephone_number": "718-665-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 CRESCENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023141",
            "telephone_number": "718-278-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLA",
        "first_name": "VIJAYAKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01914447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAYAKUMAR",
            "last_name": "ALLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.