Individual provider Active NPI

Vivek K Vijayamadhavan, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1942590955
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
N8740 Issued in TX
Practice address
6621 Fannin St
MC WT 6-104 ,Section of Neonatology
Houston, TX 77030-2303
Phone
(832) 826-1380
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X N8740 TX Primary

Addresses

Primary practice location

6621 Fannin St
MC WT 6-104 ,Section of Neonatology
Houston, TX 77030-2303

Mailing address

4807 Plato Park Dr
Sugar Land, TX 77479-5373
Phone (832) 532-7835

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110919000715 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 7810168077 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Aug 1, 2011 Accepting new patients
Texas Children'S Physician Group Past Accepting new patients

Locations

6621 Fannin St
#6104
Houston, TX 77030
Phone (832) 824-1347

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1942590955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 PLATO PARK DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795373",
            "telephone_number": "832-532-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "address_2": "MC WT 6-104 ,SECTION OF NEONATOLOGY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302303",
            "telephone_number": "832-826-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYAMADHAVAN",
        "first_name": "VIVEK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "N8740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.