Organization Active NPI

B Vijaya Kumar MD PA

  • Neurology Physician
  • Victoria, TX
National Provider Identifier
1659560746
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
B VIJAYA KUMAR MD PA
Practice address
601 E San Antonio St
Suite 403W
Victoria, TX 77901-6040
Phone
(361) 580-1500
Fax
(361) 580-1507
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Bangaruswamy KumarNPI 1427160324
Title
Office Manager
Phone
(361) 935-8470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

601 E San Antonio St
Suite 403W
Victoria, TX 77901-6040

Mailing address

2206 Valley Blossum LN
League City, TX 77573-3977
Phone (361) 935-8470

Other identifiers 3

IdentifierTypeStateIssuer
5252513OtherTXAETNA
097036001MedicaidTX
0067EWOtherTXBCBS

Other names 1

  • Bangaruswamy Vijaya Kumar Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100712000634 TX Part B Supplier - Clinic/Group Practice 1052443959 Receives reassigned benefits from 1 practitioner
Practice locations: Webster, TX; Victoria, TX; Katy, TX

National Provider Directory

National Provider Directory

Locations

601 E San Antonio St
Ste 403W
Victoria, TX 77901
Phone (361) 582-4187

601 E San Antonio St
Ste 403
Victoria, TX 77901
Phone (361) 580-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1659560746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 VALLEY BLOSSUM LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733977",
            "telephone_number": "361-935-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "SUITE 403W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016040",
            "telephone_number": "361-580-1500",
            "fax_number": "361-580-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B VIJAYA KUMAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "BANGARUSWAMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-935-8470"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5252513",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097036001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0067EW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bangaruswamy Vijaya Kumar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bangaruswamy Vijaya Kumar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.