Vijay Viswanathan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C1-0009394 Issued in DE

Practice address

640 S State St
Dover, DE 19901-3530

Phone

(302) 480-1688

Fax

(302) 480-9807

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in DE, CA2 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

Specialty

Diagnostic Radiology

Education

Texas a & M University System, HSC, College of Medicine, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians

John Muir Magnetic Imaging CenterGroup PAC ID 9032019625, 57 clinicians

John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians

Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians

County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
• Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
• Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
• Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
• John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

Merit-based Incentive Payment System (MIPS)

Final score

81.08 of 100Reported as group

Quality

62.84

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

83.63 of 100Reported as group

Quality

67.56

Improvement activities

40

Cost

71.56

Merit-based Incentive Payment System (MIPS)

Final score

90.67 of 100Reported as group

Quality

84.1

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: vviswanathan208375@santaclaravalley.direct-ci.net

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.

• Bayhealth Radiologists LLC

  • Diagnostic Radiology Physician
  • Dover, DE
  • NPI 1366214124
  Medicare reassignment Care Compare group NPD
• Bay Imaging Consultants Medical Group Inc

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1831756139

  DE

  Medicare reassignment Care Compare group NPD
• John Muir Magnetic Imaging Center

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1235184110

  DE

  Medicare reassignment Care Compare group NPD
• John Muir Trauma Physicians Billing Service

  • Hospitalist Physician
  • Walnut Creek, CA
  • NPI 1093864837
  Medicare reassignment Care Compare group NPD
• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807

  DE, Neuroradiology

  Medicare reassignment Care Compare group NPD
• Magnetic Imaging Affiliates, LLC

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1487040770

  DE

  Medicare reassignment Care Compare group NPD
• Kent Diagnostic Radiology Associates PA

  • Diagnostic Radiology Physician
  • Dover, DE
  • NPI 1417044298
  Medicare reassignment NPD
• County of Santa Clara

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1588721500
  Medicare reassignment NPD
• County of Santa Clara

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1699885079
  Medicare reassignment NPD
• Hudson Valley Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • New City, NY
  • NPI 1174574115

  DE

  Medicare reassignment NPD
• Michael P Sherman MD PHD, a Medical Corporation

  • Hematology & Oncology Physician
  • Walnut Creek, CA
  • NPI 1831201912
  Medicare reassignment NPD
• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1437103777
  Care Compare affiliation
• John Muir Health

  • General Acute Care Hospital
  • Walnut Creek, CA
  • NPI 1740215219
  Care Compare affiliation
• John Muir Health

  • General Acute Care Hospital
  • Concord, CA
  • NPI 1801821376
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Castro Valley, CA
  • NPI 1063812907
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1295181477
  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1982792818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "DE",
            "license": "C1-0009394",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "DE",
            "license": "C1-0009394",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0068887",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "230305",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0009394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAD RR PTAN",
            "identifier": "P00751354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAD BCBS",
            "identifier": "S645",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417828900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAD BLUE CHOICE",
            "identifier": "1073",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ARA PTAN",
            "identifier": "156383ZDYC",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAD BCBS REGIONAL PLANS",
            "identifier": "1073",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAD SHIPLEYS BLUE CHOICE",
            "identifier": "3811",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAD SHIPLEYS BCBS",
            "identifier": "KC46SH",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Dover, DE
• Providers in Dover, DE by specialty
• Diagnostic Radiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.

Verify at the official NPI Registry.