Organization Active NPI

Vinaya Kumar PA

  • Specialist
  • Rockledge, FL
National Provider Identifier
1831402643
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME78264 Issued in FL
Legal business name
VINAYA KUMAR PA
Practice address
2070 US Highway 1 Ste 103
Rockledge, FL 32955-3745
Phone
(321) 632-0552
Fax
(321) 632-1684
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Vinay Kumar, MDNPI 1184616849
Title
Director
Phone
(321) 632-0552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME78264 FL Primary

Addresses

Primary practice location

2070 US Highway 1 Ste 103
Rockledge, FL 32955-3745

Mailing address

2070 US Highway 1 Ste 103
Rockledge, FL 32955-3745
Phone (321) 632-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000056 FL Part B Supplier - Clinic/Group Practice 0042494213 Receives reassigned benefits from 1 practitioner
Practice locations: Cocoa, FL; Rockledge, FL

National Provider Directory

National Provider Directory

Locations

7137 N US Highway 1
Port St John, FL 32927
Phone (321) 632-0552

833 Barton Blvd
Rockledge, FL 32955
Phone (321) 632-0552

2070 US Highway 1
Ste 103
Rockledge, FL 32955
Phone (321) 632-0552

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1831402643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 US HIGHWAY 1 STE 103",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553745",
            "telephone_number": "321-632-0552",
            "fax_number": "321-632-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 US HIGHWAY 1 STE 103",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553745",
            "telephone_number": "321-632-0552",
            "fax_number": "321-632-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINAYA KUMAR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "VINAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-632-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.