VIJAY G.T. KAMINENI M.D.
NPI 1043278294
Internal Medicine in Lagrange, IN

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
98.41/100
CMS Quality Rating
2500 N DETROIT ST, LAGRANGE, IN 46761(260) 463-2133(260) 463-3775 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2024, Feb 27, 2019 (2 updates tracked since 2019).

About Vijay G.t. Kamineni M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIJAY G.T. KAMINENI M.D. (NPI 1043278294) is an individual internal medicine provider in Lagrange, Indiana, licensed in Indiana (01061449A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043278294
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVIJAY G.T. KAMINENICredential: M.D.
Location Address2500 N DETROIT STLagrange, IN 46761-1158
Mailing AddressPo Box 236Lagrange, IN 46761-0236 · (260) 463-2133 · Fax (260) 463-3775
Fax(260) 463-3775
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 3, 2006
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
NPI 1043278294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01061449A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2500 N DETROIT ST, Lagrange, IN 46761

Secondary Practice Locations 2

Location 1610 N Sawyer RdKendallville, IN 46755-2566 · Phone (260) 347-5592 · Fax (260) 347-5155
Location 22200 Randallia DrFort Wayne, IN 46805-4638 · Phone (260) 266-2020

Other Identifiers 1

Medicaid200821610IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vijay G.t. Kamineni M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133137961
PECOS Enrollment IDI20060405000163, I20240914000090
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,441 services376 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
214 services187 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
189 services109 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services89 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services34 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Orthopaedic Hospital At Parkview North

Acute Care Hospitals · Fort Wayne, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150167
Location11130 Parkview Circle DrFort Wayne, IN 46845 · Allen County
Emergency services

Parkview Lagrange Hospital

Critical Access Hospitals · Lagrange, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151323
Location207 N Townline RdLagrange, IN 46761 · Lagrange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.99
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers25 claims115 services$5.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers16 claims34 services$0.96 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers15 claims15 services$38.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$110.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims34 services$40.25 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers16 claims16 services$25.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
2500 N DETROIT ST
LAGRANGE, IN 46761
Radiology (Diagnostic Radiology)
2500 N DETROIT ST
LAGRANGE, IN 46761
Nurse Practitioner (Family)
2500 N DETROIT ST
LAGRANGE, IN 46761
Physician Assistant (Medical)
2500 N DETROIT ST
LAGRANGE, IN 46761
Nurse Practitioner
2500 N DETROIT ST
LAGRANGE, IN 46761
Internal Medicine
2500 N DETROIT ST
LAGRANGE, IN 46761
Internal Medicine
2500 N DETROIT ST
LAGRANGE, IN 46761
Nurse Practitioner (Family)
2500 N DETROIT ST
LAGRANGE, IN 46761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vijay Kamineni's NPI number?

The NPI number for Vijay Kamineni is 1043278294. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Vijay Kamineni located?

Vijay Kamineni practices at 2500 N Detroit St, Lagrange, IN 46761. The listed phone number is (260) 463-2133.

What is Vijay Kamineni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vijay Kamineni enrolled in Medicare?

Yes. Vijay Kamineni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vijay Kamineni accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Vijay Kamineni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vijay Kamineni affiliated with any hospitals?

According to CMS data, Vijay Kamineni is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital, Parkview Huntington Hospital, Orthopaedic Hospital At Parkview North and Parkview Lagrange Hospital.

When was this NPI record last updated?

The NPPES record for Vijay Kamineni was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.