Individual provider Active NPI

Vijay Singh, MD

  • Interventional Pain Medicine Physician
  • Niagara, WI
National Provider Identifier
1609847896
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
34886 Issued in WI
Practice address
1601 Roosevelt Rd
Niagara, WI 54151-1043
Phone
(888) 724-6377
Fax
(715) 251-1681
NPI assigned
Jan 27, 2006
Last updated
Apr 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 34886 WI Primary
Interventional Pain Medicine Physician 208VP0014X 4301055155 MI

Addresses

Primary practice location

1601 Roosevelt Rd
Niagara, WI 54151-1043

Mailing address

1601 Roosevelt Rd
PO Box 6
Niagara, WI 54151-1043
Phone (888) 724-6377

Other identifiers 6

IdentifierTypeStateIssuer
050B210120OtherMIBCBS
1008929OtherPREFERRED ONE
050049958OtherMIRAILROAD MEDICARE
050049959OtherWIRAILROAD MEDICARE
31536700MedicaidWI
391867916010OtherWIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040303000088 WI Practitioner - Interventional Pain Management 1254224371 Reassigns benefits to 1 organization
I20041029000559 MI Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1254224371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10945 N Port Washington Rd
Suite 100
Mequon, WI 53092-5078
Phone (262) 478-0301

1323 Ludington St
Suite B
Escanaba, MI 49829-2845
Phone (888) 724-6377

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Michigan Physicians, SC Interventional Pain Medicine CurrentSince Nov 27, 1996 Accepting new patients
Niagara Health Center, Inc CurrentSince Nov 27, 1996 Accepting new patients
Wisconsin Michigan Physicians, SC CurrentSince Nov 1, 1996 Accepting new patients
Ozaukee Surgery Center, LLC PastSince Dec 1, 2024 Accepting new patients

Locations

5261 N Port Washington Rd
Glendale, WI 53217
Phone (414) 332-6001

502 Copper St
Hurley, WI 54534
Phone (715) 561-4795

10945 N Port Washington Rd
Ste 100
Mequon, WI 53092
Phone (262) 365-6572

8532 W Capitol Dr
Milwaukee, WI 53222
Phone (414) 463-2607

1601 Roosevelt Rd
Niagara, WI 54151
Phone (715) 251-1780

1601 Roosevelt Rd
#6736
Niagara, WI 54151

1080 W Fond du Lac St
Ripon, WI 54971
Phone (920) 748-1497

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1609847896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ROOSEVELT RD",
            "address_2": "PO BOX 6",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541511043",
            "telephone_number": "888-724-6377",
            "fax_number": "715-251-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ROOSEVELT RD",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541511043",
            "telephone_number": "888-724-6377",
            "fax_number": "715-251-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "VIJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "34886",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301055155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050B210120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1008929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050049958",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050049959",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31536700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "391867916010",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara, WI

Sources for this page

Verify at the official NPI Registry.