Vijay Krishna Kuppurajan, is a medicare enrolled "Internal Medicine" physician in Imperial Beach, California. His current practice location is
707 Palm Ave, Imperial Beach, California. You can reach out to his office (for appointments etc.) via phone at
(619) 429-7700.
Vijay Krishna Kuppurajan is licensed to practice in California (license number A183031) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326669060.
Physician's Profile
| Full Name | Vijay Krishna Kuppurajan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 707 Palm Ave, Imperial Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326669060
- Provider Enumeration Date: 05/05/2020
- Last Update Date: 09/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173995016
- Enrollment ID: I20230202001510
Medical Identifiers
Medical identifiers for Vijay Krishna Kuppurajan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326669060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | A183031 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Vijay Krishna Kuppurajan allows following entities to bill medicare on his behalf.
| Entity Name | Vn Healthy Living Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154030955
PECOS PAC ID: 0446620348
Enrollment ID: O20230111001521 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vijay Krishna Kuppurajan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vijay Krishna Kuppurajan,
707 Palm Ave,
Imperial Beach, CA 91932-1229
Ph: (619) 429-7700 | Vijay Krishna Kuppurajan,
707 Palm Ave,
Imperial Beach, CA 91932-1229
Ph: (619) 429-7700 |
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