Active NPI
Vivek K Vijayamadhavan, M.D.
- Neonatal-Perinatal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- N8740
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magella Medical Associates Billing, Inc. | Neonatal-Perinatal Medicine | Current | 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.
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.