Individual provider Active NPI

Vijay Thukral, M.D.

  • Internal Medicine Physician
  • Milpitas, CA
National Provider Identifier
1760593644
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A423070 Issued in CA
Practice address
995 Montague Expy
Suite #213
Milpitas, CA 95035-6851
Phone
(408) 258-7400
Fax
(408) 258-2175
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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 A423070 CA Primary

Addresses

Primary practice location

995 Montague Expy
Suite #213
Milpitas, CA 95035-6851

Mailing address

995 Montague Expy
Suite #213
Milpitas, CA 95035-6851
Phone (408) 258-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080125000669 CA Practitioner - Internal Medicine 0042392201 Practice locations: Milpitas, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A423070CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nupur Tara Speech Language Pathology, Inc CurrentSince Aug 16, 2023 Accepting new patients

Locations

995 Montague Expy
Ste 213
Milpitas, CA 95035
Phone (408) 254-9900

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1760593644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 MONTAGUE EXPY",
            "address_2": "SUITE #213",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356851",
            "telephone_number": "408-258-7400",
            "fax_number": "408-258-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 MONTAGUE EXPY",
            "address_2": "SUITE #213",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356851",
            "telephone_number": "408-258-7400",
            "fax_number": "408-258-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUKRAL",
        "first_name": "VIJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A423070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.