Vijayalakshmi Nandimandalam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M5849 Issued in TX

Practice address

1211 E 6TH St
Suite 100
Bonham, TX 75418-4095

Phone

(903) 640-4700

Fax

(903) 640-1975

NPI assigned

Mar 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Concord North Texas, PLLC

  • Emergency Medicine Physician
  • Bonham, TX
  • NPI 1952761173
  Medicare reassignment NPD
• McAdams Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1275183956
  Medicare reassignment NPD
• Webb Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1770543555
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD
• Emergis ER Coit, LLC

  • Special Hospital
  • Dallas, TX
  • NPI 1891239935
  NPD (past)
• Texas ER Group PLLC

  • Emergency Medicine Physician
  • Lumberton, TX
  • NPI 1235829359
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1922075464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E 6TH ST",
            "address_2": "SUITE 100",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184095",
            "telephone_number": "903-640-4700",
            "fax_number": "903-640-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E 6TH ST",
            "address_2": "SUITE 100",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184095",
            "telephone_number": "903-640-4700",
            "fax_number": "903-640-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDIMANDALAM",
        "first_name": "VIJAYALAKSHMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M5849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195425701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Michael Mobilio, LCSW
• Monica Moman, LCSW
• Timothy Aundra Morgan, KT
• Gail R Motes, CTRS
• Celize Maranda Murray, RD/LD
• New Horizon Community Services LLC
• Schelley Murdock Newsom, LMSW
• Bao Nguyen
• Hiep Ngoc Nguyen, RPH
• Karen Jaqueline Nino, MS, CCC-SLP

• Internal Medicine Physician in Bonham, TX
• Providers in Bonham, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.