RAJIV PRADEEP VYAS MD
NPI 1093206070
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since May 24, 2018PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST, WORCESTER, MA 01608(508) 363-5000 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2019, Jan 31, 2019, May 24, 2018 (3 updates tracked since 2018).

About Rajiv Pradeep Vyas Md NPPES

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

RAJIV PRADEEP VYAS MD (NPI 1093206070) is an individual student in an organized health care education/training program in Worcester, Massachusetts, licensed in Michigan (4301115793) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093206070
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAJIV PRADEEP VYASCredential: MD
Location Address123 SUMMER STWorcester, MA 01608-1216
Mailing Address123 Summer StWorcester, MA 01608-1216 · (508) 363-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 24, 2018
Last NPPES UpdateAugust 8, 20193 updates tracked since enumeration
✔ NPI 1093206070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in MI · 4301115793
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
123 SUMMER ST, Worcester, MA 01608

Secondary Practice Locations 3

Location 1133 Park StMalone, NY 12953-1244 · Phone (518) 483-3000
Location 275 Park StreetElizabethtown, NY 12932 · Phone (518) 873-6377
Location 3123 Summer StWorcester, MA 01608-1216 · Phone (508) 363-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rajiv Pradeep Vyas Md 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 ID749781979
PECOS Enrollment IDI20250829000545
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rajiv Vyas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
75 PARK STREET
Elizabethtown, NY 12932
  • Reassigned Medicare billing, New York enrollment
  • 219 clinicians in this Medicare group
General Acute Care Hospital
75 BEEKMAN ST
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York enrollment
  • 675 clinicians in this Medicare group
Critical Access
133 PARK ST
Malone, NY 12953
  • Reassigned Medicare billing, New York enrollment
  • 326 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

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.

Hospitalist
123 SUMMER ST
WORCESTER, MA 01608
Internal Medicine
123 SUMMER ST
WORCESTER, MA 01608
Student in an Organized Health Care Education/Training Program
123 SUMMER ST
WORCESTER, MA 01608
Nurse Anesthetist, Certified Registered
123 SUMMER ST
WORCESTER, MA 01608
Pathology (Anatomic Pathology & Clinical Pathology)
123 SUMMER ST
WORCESTER, MA 01608
Obstetrics & Gynecology (Obstetrics)
123 SUMMER ST, SUITE 560
WORCESTER, MA 01608
Physician Assistant
123 SUMMER ST
WORCESTER, MA 01608
Midwife
123 SUMMER ST
WORCESTER, MA 01608

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 Rajiv Vyas's NPI number?

The NPI number for Rajiv Vyas is 1093206070. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Rajiv Vyas located?

Rajiv Vyas practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-5000.

What is Rajiv Vyas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rajiv Vyas enrolled in Medicare?

Yes. Rajiv Vyas 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.

Which organizations bill Medicare for Rajiv Vyas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajiv Vyas reassigns Medicare benefits to 3 organizations: Elizabethtown Community Hospital (Elizabethtown, NY), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY) and Alice Hyde Medical Center (Malone, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rajiv Vyas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rajiv Vyas affiliated with any hospitals?

According to CMS data, Rajiv Vyas is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital and The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Rajiv Vyas was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.