DR. VIJAY KAKUMANU M.D.
NPI 1225225816
Internal Medicine in Elyria, OH

Q: What is Vijay Kakumanu's NPI number?

The NPI number for Vijay Kakumanu is 1225225816. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Q: What is Vijay Kakumanu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Vijay Kakumanu was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 27, 2007PECOS EnrolledAccepts Medicare Assignment

90.54/100

CMS Quality Rating

630 E RIVER ST, ELYRIA, OH 44035(440) 988-1009(440) 960-1227 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2026, Feb 27, 2025 (2 updates tracked since 2025).

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About Dr. Vijay Kakumanu M.d. NPPES

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

DR. VIJAY KAKUMANU M.D. (NPI 1225225816) is an individual internal medicine provider in Elyria, Ohio, licensed in Ohio (35.092595) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Crossroads Community Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1225225816

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. VIJAY KAKUMANUCredential: M.D.

Location Address630 E RIVER STElyria, OH 44035-5902

Mailing AddressPo Box 636643Cincinnati, OH 45263-6643 · (440) 988-1009 · Fax (440) 988-1227

Phone(440) 988-1009

Fax(440) 960-1227

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 27, 2007

Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1225225816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in OH · 35.092595✔ Licensed in WV · 33917✔ Licensed in WA · MD61664572

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

630 E RIVER ST, Elyria, OH 44035

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Other Identifiers 2

Medicaid3025372OH

Medicaid2903960OH

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

Dr. Vijay Kakumanu 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 ID8921164146

PECOS Enrollment IDI20200106002256, I20240730003263, I20251106001508

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.

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.

223 services110 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.

192 services83 patients

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.

176 services84 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

107 services68 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

89 services85 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

89 services85 patients

Hospital Affiliations CMS Care Compare 4

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

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL

OwnershipProprietary

CMS Certification Number140294

Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County

Emergency services

Southwest Medical Center

Acute Care Hospitals · Liberal, KS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number170068

Location315 West 15th StreetLiberal, KS 67901 · Seward County

Emergency services Birthing friendly

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360155

Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County

Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.54/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.73

Promoting Interoperability

100

Improvement Activities

Cost

87.75

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers16 claims31 services$4.78 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers13 claims13 services$8.40 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers22 claims22 services$24.73 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$62.55 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$28.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JESSICA ANNE YAGER

Nurse Anesthetist, Certified Registered