VIJAY MENON MD
NPI 1124123633
Pediatrics - Neonatal-Perinatal Medicine in Elizabethtown, KY

Q: What is Vijay Menon's NPI number?

The NPI number for Vijay Menon is 1124123633. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Vijay Menon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Vijay Menon was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2006PECOS Enrolled

913 N DIXIE AVE, ELIZABETHTOWN, KY 42701(270) 737-1212 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Vijay Menon Md NPPES

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

VIJAY MENON MD (NPI 1124123633) is an individual neonatal-perinatal medicine provider in Elizabethtown, Kentucky, licensed in Indiana (01056824) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124123633

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameVIJAY MENONCredential: MD

Location Address913 N DIXIE AVEElizabethtown, KY 42701-2503

Mailing Address504 Aintree AveHolly Springs, NC 27540-4987 · (317) 379-6341

Phone(270) 737-1212

Sole ProprietorNo

Enumeration DateSeptember 13, 2006

Last NPPES UpdateApril 24, 2025

NPPES CertifiedApril 24, 2025

✔ NPI 1124123633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in IN · 01056824✔ Licensed in KY · 55613

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

913 N DIXIE AVE, Elizabethtown, KY 42701

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Other Identifiers 1

Medicaid200406490IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vijay Menon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

DR. PORTER LEE RAMSEY V PHARMD, BCPS

Pharmacist (Critical Care)