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DIVYA GOUTAM VIJENDRA M.D.
NPI 1164502373
Internal Medicine - Medical Oncology in Bryan, OH

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
433 W HIGH ST, BRYAN, OH 43506(419) 636-1131(419) 636-3100 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divya Goutam Vijendra M.d. NPPES

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

DIVYA GOUTAM VIJENDRA M.D. (NPI 1164502373) is an individual medical oncology provider in Bryan, Ohio, licensed in Ohio (35084674) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1164502373
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDIVYA GOUTAM VIJENDRACredential: M.D.
Location Address433 W HIGH STBryan, OH 43506-1690
Mailing Address433 W High StBryan, OH 43506-1690 · (419) 636-1131 · Fax (419) 636-3100
Phone(419) 636-1131
Fax(419) 636-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1164502373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in OH · 35084674
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35-084674 (OH)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 35084674 (OH)
433 W HIGH ST, Bryan, OH 43506
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Other Identifiers 1

Medicaid2491683OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Divya Goutam Vijendra 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 ID1759359623
PECOS Enrollment IDI20040918000136
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 7

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.

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.
136 services77 patients
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.
60 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43506 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

JENNIFER LYNN WITTE SLP
Speech-Language Pathologist
433 W HIGH ST
BRYAN, OH 43506
Williams County (419) 636-1131
DR. EIAD OMRAN MD
Emergency Medicine
433 W HIGH ST
BRYAN, OH 43506
Williams County (419) 824-5063
MS. FATMAH H ALBAAJ MD
Family Medicine
433 W HIGH ST
BRYAN, OH 43506
Williams County (419) 636-1131
BROOKE E MOORE APRN.CNP
Nurse Practitioner
433 W HIGH ST
BRYAN, OH 43506
Williams County (419) 630-2021
CAITLIN NICOLE ARMSTRONG CRNA
Nurse Anesthetist, Certified Registered
433 W HIGH ST
BRYAN, OH 43506
Williams County (419) 636-1131
MR. LARRY MICHAEL PICKETT CRNA
Nurse Anesthetist, Certified Registered
433 W HIGH ST
BRYAN, OH 43506
Williams County (419) 636-1131
DARREN D CHAO M.D.
Radiology (Diagnostic Radiology)
433 W HIGH ST
BRYAN, OH 43506
Williams County (419) 636-1131
DAVID M COOLEY MD
Internal Medicine (Gastroenterology)
433 W HIGH ST
BRYAN, OH 43506
Williams County (419) 630-2021

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 Divya Vijendra's NPI number?

The NPI number for Divya Vijendra is 1164502373. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Divya Vijendra located?

Divya Vijendra practices at 433 W High St, Bryan, OH 43506. The listed phone number is (419) 636-1131.

What is Divya Vijendra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Divya Vijendra enrolled in Medicare?

Yes. Divya Vijendra 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 Divya Vijendra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and McLaren Health Plan Community and 1 other insurer list Divya Vijendra 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 Divya Vijendra affiliated with any hospitals?

According to CMS data, Divya Vijendra is affiliated with University Of Toledo Medical Center and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Divya Vijendra was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.