Active NPI
Maheshkumar Vyas, M.D.
- Allergy & Immunology Physician
- Anaheim, CA
National Provider Identifier
1942279633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A39509
- Practice address
- 8245 E Monte Vista Rd Ste 200
Anaheim, CA 92808-1297 - Phone
- (714) 974-0100
- Fax
- (714) 974-0300
- NPI assigned
- Mar 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A39509 | CA | |
| Allergy & Immunology Physician | 207K00000X | A39509 | CA | Primary |
Addresses
Primary practice location
8245 E Monte Vista Rd Ste 200
Anaheim, CA 92808-1297
Mailing address
8245 E Monte Vista Rd
Ste 200
Anaheim, CA 92808-3748
Phone (714) 974-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071009000992 | CA | Practitioner - Allergy/Immunology | 1557454485 | Practice locations: Anaheim, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8245 E Monte Vista Rd
Suite 200
Anaheim, CA 92808-1297
Phone (714) 974-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39509 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Jude Hospital Inc | Past | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Lilli Ann C Cellona M D a Medical | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Specialist
- Anaheim, CA
- NPI 1083813620
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942279633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8245 E MONTE VISTA RD",
"address_2": "STE 200",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928083748",
"telephone_number": "714-974-0100",
"fax_number": "714-974-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8245 E MONTE VISTA RD STE 200",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081297",
"telephone_number": "714-974-0100",
"fax_number": "714-974-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYAS",
"first_name": "MAHESHKUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A39509",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A39509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.