NPIMap

Individual provider Active NPI

Vijay A Koli, MD

  • Internal Medicine Physician
  • West Columbia, SC
National Provider Identifier
1700835493
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20503 Issued in SC
Practice address
131 Sunset CT
West Columbia, SC 29169-2429
Phone
(803) 796-2222
Fax
(803) 796-7839
NPI assigned
May 9, 2006
Last updated
Nov 9, 2020By the provider in NPPES
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
Internal Medicine Physician 207R00000X 20503 SC Primary

Addresses

Primary practice location

131 Sunset CT
West Columbia, SC 29169-2429

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other identifiers 1

IdentifierTypeStateIssuer
205030MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vkoli14735@direct.lexmed.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000216 SC Practitioner - Internal Medicine 4688622285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660

131 Sunset CT
West Columbia, SC 29169-2429
Phone (803) 796-2222

132 Sunset CT
West Columbia, SC 29169-2429
Phone (803) 314-5560

145 Sunset CT
West Columbia, SC 29169-2429

811 W Main St
Lexington, SC 29072-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20503SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District, Inc. CurrentSince Mar 20, 2020 Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Lexington Medical Center PastSince Jan 1, 1990 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lexington County Health Services District, Inc. PastSince Jan 1, 1990 Accepting new patients
Lexington County Health Services District, Inc. PastSince Jan 1, 1990 Accepting new patients

Locations

154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

120 E Medical Ln
West Columbia, SC 29169
Phone (803) 936-7210

123 E Medical Ln
West Columbia, SC 29169
Phone (803) 791-2397

131 Sunset Ct
West Columbia, SC 29169
Phone (803) 796-2222

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

3240 Sunset Blvd
West Columbia, SC 29169
Phone (803) 359-8855

Organizations & group practices 9

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 11

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1700835493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SUNSET CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-796-2222",
            "fax_number": "803-796-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLI",
        "first_name": "VIJAY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205030",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkoli14735@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "131 Sunset Ct",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291692429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.