Individual provider Active NPI

Vijaykumar S Vaidya, MD

  • Surgery Physician
  • Cleveland, OH
National Provider Identifier
1881772218
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.058489 Issued in OH
Practice address
2322 E 22ND St
Suite 120
Cleveland, OH 44115-3176
Phone
(216) 241-8654
Fax
(216) 694-4607
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.058489 OH Primary

Addresses

Primary practice location

2322 E 22ND St
Suite 120
Cleveland, OH 44115-3176

Mailing address

PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 472-2730

Other identifiers 1

IdentifierTypeStateIssuer
0779733MedicaidOH

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050418000009 OH Practitioner - General SurgeryPractitioner - Other (Physician) 2860439700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North East Ohio Group Practice LLCGroup PAC ID 8426960618, 22 clinicians

Practice addresses (Care Compare)

11900 Fairhill Rd
Cleveland, OH 44120-1062
Phone (216) 983-8030

2351 E 22ND St
Cleveland, OH 44115-3111
Phone (216) 861-6200

4220 Interchange Corporate Ctr Rd
Warrensville Heights, OH 44128-5631
Phone (216) 910-3800

6990 Engle Rd
Middleburg Heights, OH 44130-3420
Phone (440) 202-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC CurrentSince Jul 1, 2001 Accepting new patients
Uhhs Bedford Past Accepting new patients
Oscar Nicholson Jr MD Inc Surgery Past Accepting new patients

Locations

2351 E 22nd St
Ste 110
Cleveland, OH 44115
Phone (216) 363-2510

2351 E 22nd St
Fl 7
Cleveland, OH 44115
Phone (216) 592-2175

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536

11900 Fairhill Rd
Cleveland, OH 44120
Phone (216) 231-2344

4200 Interchange Corporate Center Rd
Warrensville Heights, OH 44128
Phone (216) 292-5750

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1881772218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-472-2730",
            "fax_number": "216-472-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST",
            "address_2": "SUITE 120",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153176",
            "telephone_number": "216-241-8654",
            "fax_number": "216-694-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "VIJAYKUMAR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.058489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0779733",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.