DR. KALLURU VIJAYABHANU MD
NPI 1144310475
Internal Medicine - Geriatric Medicine in Milwaukee, WI

Q: What is Kalluru Vijayabhanu's NPI number?

The NPI number for Kalluru Vijayabhanu is 1144310475. It was assigned to this individual provider in the NPPES registry on October 16, 2006. The provider is also known as Manikonda Vijayarhanu.

Q: What is Kalluru Vijayabhanu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since October 16, 2006PECOS Enrolled

5228 W FOND DU LAC AVE, MILWAUKEE, WI 53216(414) 536-2100(414) 536-2311 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kalluru Vijayabhanu Md NPPES

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

DR. KALLURU VIJAYABHANU MD (NPI 1144310475) is an individual geriatric medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (37250) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144310475

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameDR. KALLURU VIJAYABHANUCredential: MD

Location Address5228 W FOND DU LAC AVEMilwaukee, WI 53216

Mailing Address8520 N Greenvale RdBayside, WI 53217 · (414) 228-9446

Phone(414) 536-2100

Fax(414) 536-2311

Sole ProprietorNo

Enumeration DateOctober 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1144310475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in WI · 37250

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

5228 W FOND DU LAC AVE, Milwaukee, WI 53216

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Other Names 1

Former Name (1)Manikonda Vijayarhanu

Other Identifiers 1

Medicare UPING66698

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kalluru Vijayabhanu 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53216 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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Other Providers at the Same Location NPPES 18

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

MRS. SARA MORGAN LPC-IT

Counselor (Professional)