Vijaya Nama M.D PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L7821 Issued in TX

Legal business name

VIJAYA NAMA M.D PA

Practice address

5115 N Galloway Ave Ste 304
Mesquite, TX 75150-7535

Phone

(972) 613-2127

Fax

(972) 613-2726

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vijaya Nama, M.DNPI 1306829791

Title

Director

Phone

(972) 613-2127

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vijaya Nama MD PA

  • Primary Care Clinic/Center
  • Garland, TX
  • NPI 1073520177

  O20061005000115

  Same enrollment

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14525/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Vijaya Nama, MD

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1306829791
  Medicare reassignment NPD Authorized official
• Timonet B Abuloc, NP

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1548427156
  Medicare reassignment NPD
• Siby Thomas, FNP

  • Family Nurse Practitioner
  • Garnerville, NY
  • NPI 1497140867

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1770770638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851484",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851484",
            "telephone_number": "972-613-2127",
            "fax_number": "972-613-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N GALLOWAY AVE STE 304",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507535",
            "telephone_number": "972-613-2127",
            "fax_number": "972-613-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYA NAMA M.D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "NAMA",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-613-2127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187640101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepali Verma, DDS
• Victory Tele Healthcare PLLC
• Dezirae Nichole Vidal, RBT
• Janet Marie Viera, LVN
• Vigor Home Healthcare,Inc.
• Viji Antony
• Village Hospice LLC
• Virtual Home Care Inc.
• Virtuscan Imaging LLC
• Vision Health Services

• Family Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.