Individual provider Active NPI

Vikas Mohindra, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1912380809
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57378 Issued in TN
Practice address
50 E 76TH St
Apt 5C
New York, NY 10021-2707
Phone
(347) 228-9933
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57378 TN Primary

Addresses

Primary practice location

50 E 76TH St
Apt 5C
New York, NY 10021-2707

Mailing address

50 E 76TH St
Apt 5C
New York, NY 10021-2707
Phone (347) 228-9933

Other identifiers 1

IdentifierTypeStateIssuer
7100602210MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180928001441 TN Practitioner - Internal Medicine 7214288364 Reassigns benefits to 4 organizations
I20250917003720 SC Practitioner - Internal Medicine 7214288364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4559

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57378TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Aug 25, 2025 Accepting new patients
Iris Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Dec 1, 2019 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 6

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 4

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1912380809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 76TH ST",
            "address_2": "APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212707",
            "telephone_number": "347-228-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 76TH ST",
            "address_2": "APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212707",
            "telephone_number": "347-228-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHINDRA",
        "first_name": "VIKAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "57378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100602210",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.