Active NPI
Vijayan Charles, M.D.
- Surgery Physician
- Greenbelt, MD
National Provider Identifier
1881740587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0014192
- Practice address
- 7237 Hanover Pkwy Ste B
Greenbelt, MD 20770-3602 - Phone
- (301) 982-4892
- Fax
- (301) 982-5813
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0014192 | MD | Primary |
Addresses
Primary practice location
7237 Hanover Pkwy Ste B
Greenbelt, MD 20770-3602
Mailing address
7237 Hanover Pkwy Ste B
Greenbelt, MD 20770-3602
Phone (301) 982-4892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017051800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Riverside Medical Associates PA | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24726/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Endocrinology, Diabetes & Metabolism Physician
- Riverdale, MD
- NPI 1730132648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1881740587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7237 HANOVER PKWY STE B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703602",
"telephone_number": "301-982-4892",
"fax_number": "301-982-5813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7237 HANOVER PKWY STE B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703602",
"telephone_number": "301-982-4892",
"fax_number": "301-982-5813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "VIJAYAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0014192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017051800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.