Vijayavel Palanichamy, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

27022 Issued in AZ

Practice address

3535 E Andy Devine Ave
Kingman, AZ 86401-3412

Phone

(928) 757-2050

Fax

(928) 757-2020

NPI assigned

Aug 10, 2006

Last updated

Jan 10, 2012By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBJABD/Endpoint/CBJABD

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.

• Mohave Nephrology,PC

  • Nephrology Physician
  • Kingman, AZ
  • NPI 1669798823
  Medicare reassignment NPD Authorized official
• Sheila R Mane MD PC

  • Non-Pharmacy Dispensing Site
  • Kingman, AZ
  • NPI 1366512444

  Nephrology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1811908510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E ANDY DEVINE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864013412",
            "telephone_number": "928-757-2050",
            "fax_number": "928-757-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E ANDY DEVINE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864013412",
            "telephone_number": "928-757-2050",
            "fax_number": "928-757-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANICHAMY",
        "first_name": "VIJAYAVEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "27022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44268202",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Overcome Counseling PLLC
• Danni Denise Owens, FNP
• Michael Owusu-Boadi, PHARM D
• Kimberly A Paden, NURSE PRACTITIONER
• Caridad Padron, MD
• Deborah Panicali, RPH
• Munawar Ahmad Paracha, M.D.
• Nicole Parrill Farney
• Sharmila Parvathaneni, MD
• Patakens LTD (Desert View Health Care)

• Nephrology Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.