Individual provider Active NPI

Shalini Vijaykumar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Jefferson Hills, PA
National Provider Identifier
1881827053
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD445111 Issued in PA
Practice address
575 Coal Valley Rd
Suite 573
Jefferson Hills, PA 15025-3730
Phone
(412) 469-3300
Fax
(412) 469-7226
NPI assigned
Sep 3, 2009
Last updated
Jul 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD445111 PA Primary

Addresses

Primary practice location

575 Coal Valley Rd
Suite 573
Jefferson Hills, PA 15025-3730

Mailing address

21 Industrial Blvd 100
Paoli, PA 19301-1610
Phone (610) 251-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120629000306 PA Practitioner - Endocrinology 5496910234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Endocrinology Associates, PCGroup PAC ID 6507816600, 3 clinicians

Practice addresses (Care Compare)

11 Industrial Blvd
Suite 202
Paoli, PA 19301-1620
Phone (610) 251-0300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Endocrinology Associates, PC Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2015 Accepting new patients

Locations

11 Industrial Blvd
Ste 202
Paoli, PA 19301
Phone (484) 527-0410

21 Industrial Blvd
Ste 101
Paoli, PA 19301
Phone (610) 251-0300

Interoperability endpoints

  • Direct secure messaging: shalini.vijaykumar@sea.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1881827053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 INDUSTRIAL BLVD 100",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011610",
            "telephone_number": "610-251-0303",
            "fax_number": "610-251-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 573",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-3300",
            "fax_number": "412-469-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYKUMAR",
        "first_name": "SHALINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD445111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.