Vijay Kakumanu MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VIJAY KAKUMANU MD LLC

Doing business as

Vijay Kakumanu MD LLC

Practice address

4036 Center Rd Unit B
Brunswick, OH 44212-2945

Phone

(330) 225-7733

Fax

(330) 220-0902

NPI assigned

Nov 16, 2019

Last updated

Jul 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Kakumanu, MDNPI 1225225816

Title

Ceo

Phone

(440) 371-4024

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vijay Kakumanu MD LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vijay Kakumanu, M.D.

  • Internal Medicine Physician
  • Elyria, OH
  • NPI 1225225816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1780229435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 CENTER RD UNIT B",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122945",
            "telephone_number": "330-225-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 CENTER RD UNIT B",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122945",
            "telephone_number": "330-225-7733",
            "fax_number": "330-220-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY KAKUMANU MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-16",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "KAKUMANU",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-371-4024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2903960",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vijay Kakumanu MD LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vijay Kakumanu MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Universal Medical Ancillary Services
• University Primary Care Practices
• University Primary Care Practices
• Tammy Venorsky
• Rebekah Jill Vickerts, M.S. CCC-SLP
• Sujaya Vijayakumar, MD
• Vision Clinics LTD (Brunswick Vision Clinic)
• Visionquest Eyecare
• Gabrielle G Vitez
• Vocworks

• Internal Medicine Physician in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.