Vijay S Kusnoor, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

F5263 Issued in TX

Practice address

3570 College
Suite 200
Beaumont, TX 77701-4679

Phone

(409) 839-3118

Fax

(409) 654-6922

NPI assigned

Jun 24, 2006

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: md_-_vijay_kusnoor@yourcarecommunity.org

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.

• Cardiac Imaging Inc

  • Mobile Radiology Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1770830606
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1720014509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021841",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 COLLEGE",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014679",
            "telephone_number": "409-839-3118",
            "fax_number": "409-654-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSNOOR",
        "first_name": "VIJAY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F5263",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F5263",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "F5263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137824212",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS",
            "identifier": "8BZ707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sagar Kumar, M.D.
• Vijay Kumar, MD
• Neelu Kumari, M.D.
• Ajith Kuriakose, MD
• Rita V Kusnoor, MD
• Jessica Joline Kvasnicka, PMHNP-BC
• Kyndel Kyler
• L & L Heavenly Home Healthcare LLC
• L&L Transport
• La Costa of Beaumont PA

• Pediatric Cardiology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.