Individual provider Active NPI

Vijaya L Babu, MD

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
National Provider Identifier
1891861340
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0072058 Issued in FL
Practice address
9980 Central Park Blvd
Suite 210
Boca Raton, FL 34428
Phone
(561) 218-8882
Fax
(561) 488-2398
NPI assigned
Nov 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0072058 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd
Suite 210
Boca Raton, FL 34428

Mailing address

12124 Glenmore Drive
Coral Springs, FL 33071
Phone (561) 218-8882

Other names 1

  • Vijaya L Babu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040902000376 FL Practitioner - Obstetrics/Gynecology 1456327345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072058FLMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891861340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 GLENMORE DRIVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33071",
            "telephone_number": "561-218-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD",
            "address_2": "SUITE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "34428",
            "telephone_number": "561-218-8882",
            "fax_number": "561-488-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABU",
        "first_name": "VIJAYA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0072058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAYA",
            "last_name": "BABU",
            "middle_name": "L",
            "credential": "MD  PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.