Individual provider Active NPI

Vijay Kumar Khurana, MD

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1710969548
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0423137 Issued in KS
Practice address
1431 S Bluffview Dr
Suite 216
Wichita, KS 67218-3010
Phone
(316) 337-5959
Fax
(855) 884-0520
NPI assigned
Nov 17, 2005
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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 0423137 KS Primary

Addresses

Primary practice location

1431 S Bluffview Dr
Suite 216
Wichita, KS 67218-3010

Mailing address

1431 S Bluffview Dr
Ste 209
Wichita, KS 67218-3039
Phone (316) 337-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050429000244 KS Practitioner - Internal Medicine 1254370117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1431 S Bluffview Dr
Suite 209
Wichita, KS 67218-3039
Phone (316) 337-5959

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0423137KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vijay K Khurana M.D., P.a. Internal Medicine CurrentSince Oct 1, 2011 Accepting new patients
Eleven-Twelve Company Internal Medicine Current Accepting new patients

Locations

1144 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 267-0159

1431 S Bluffview Dr
Ste 209
Wichita, KS 67218
Phone (316) 337-5959

1431 S Bluffview Dr
Ste 216
Wichita, KS 67218
Phone (316) 337-5959

8080 E Pawnee St
Wichita, KS 67207
Phone (316) 652-0526

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Medical CenterAndover, KS, CCN 170197 Hospital Limited Partnership Interest (0.66%) Oct 9, 2006
Clear Path Hospice of Wichita, LLCWichita, KS, CCN 171589 Hospice 5% Or Greater Indirect Ownership Interest (15%) Nov 14, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 2

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1710969548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 S BLUFFVIEW DR",
            "address_2": "STE 209",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-337-5959",
            "fax_number": "855-884-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 S BLUFFVIEW DR",
            "address_2": "SUITE 216",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183010",
            "telephone_number": "316-337-5959",
            "fax_number": "855-884-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "VIJAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0423137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.