VIJAY VENUGOPAL
NPI 1124438106
Student in an Organized Health Care Education/Training Program in Manchester, CT
About Vijay Venugopal NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIJAY VENUGOPAL (NPI 1124438106) is an individual student in an organized health care education/training program in Manchester, Connecticut and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Vijay Venugopal 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.
Medicare Billing Reassignments
2Medicare enrollment records show Vijay Venugopal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
MANCHESTER, CT 06040
MANCHESTER, CT 06040
MANCHESTER, CT 06040
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 Venugopal's NPI number?
The NPI number for Vijay Venugopal is 1124438106. It was assigned to this individual provider in the NPPES registry on April 30, 2014.
Where is Vijay Venugopal located?
Vijay Venugopal practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 533-4679.
What is Vijay Venugopal's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Vijay Venugopal enrolled in Medicare?
Yes. Vijay Venugopal 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 Vijay Venugopal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Venugopal reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Hemet, CA) and Permanente Medical Group Inc (Stockton, CA). 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 Vijay Venugopal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vijay Venugopal was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Vijay Venugopal · NPI 1124438106
Student in an Organized Health Care Education/Training Program provider in Manchester, Connecticut. Individual provider, active in the CMS NPPES registry since April 30, 2014.
## Identity
- **NPI:** 1124438106 (Entity type: Individual)
- **Enumerated:** April 30, 2014
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 71 HAYNES ST, Manchester, CT 06040-4131
- **Phone:** (860) 533-4679
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124438106) · Data from the CMS NPPES public registry.