Individual provider Active NPI

Vijay Kumar Narendran, M.D., MBA

  • Hematology & Oncology Physician
  • Palm Springs, FL
National Provider Identifier
1629395249
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
272229 Issued in NY
Practice address
1630 S Congress Ave
Palm Springs, FL 33461-2171
Phone
(561) 253-3980
Fax
(561) 253-3985
NPI assigned
Apr 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 272229 NY Primary

Addresses

Primary practice location

1630 S Congress Ave
Palm Springs, FL 33461-2171

Mailing address

1630 S Congress Ave Ste 200
Palm Springs, FL 33461-2171
Phone (561) 253-3980

Other practice location 1

1204 N Vercler Rd Ste 101
Spokane Valley, WA 99216-1020
Phone (509) 228-1000

Other practice location 2

1204 N Vercler Rd Ste 201
Spokane Valley, WA 99216-1020
Phone (509) 228-1000

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
I20181203002091 FL Practitioner - Hematology/Oncology 1658668900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Texas Tech University Health Science Center School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Center of South Florida PLLCGroup PAC ID 8426120239, 47 clinicians
Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

1630 S Congress Ave
Suite 200
Palm Springs, FL 33461-2171
Phone (561) 253-3980

7100 Fairway Dr
Palm Beach Gardens, FL 33418-3778
Phone (561) 775-7775

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of South Florida PLLC CurrentSince Oct 1, 2018 Accepting new patients
Tampa General Hospital Current Accepting new patients
Cancer Center of South Florida PLLC Hematology & Oncology CurrentSince Oct 1, 2018 Accepting new patients

Locations

11621 Kew Gardens Ave
Ste 101A
Palm Beach Gardens, FL 33410
Phone (561) 832-1234

4801 S Congress Ave
Ste 201
Palm Springs, FL 33461
Phone (561) 649-8770

1630 S Congress Ave
Ste 200
Palm Springs, FL 33461
Phone (561) 621-0012

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: vnarendran20484@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: vnarendran191256@direct.tgh.org

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 and National Provider Directory roles.

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": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1629395249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S CONGRESS AVE STE 200",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612171",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612171",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 N Vercler Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161020",
            "country_code": "US",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1204 N Vercler Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161020",
            "country_code": "US",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARENDRAN",
        "first_name": "VIJAY",
        "middle_name": "KUMAR",
        "credential": "M.D., MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "272229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.