Active NPI
Vijaykumar S Vaidya, MD
- Surgery Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.058489
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0779733 | Medicaid | OH |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Ohio Group Practice LLC | Current | 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.
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1063575462
-
- Surgery Physician
- Cleveland Heights, OH
- NPI 1144491200
-
- Internal Medicine Physician
- Bedford, OH
- NPI 1811933419
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Regency Hospital of Cleveland East
- Long Term Care Hospital
- Warrensville Heights, OH
- NPI 1790846707
Long-term care hospital
-
- Long Term Care Hospital
- Cleveland, OH
- NPI 1063871820
Long-term care hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.