ENID LUNG & KIDNEY CLINIC PLLC
NPI 1225279987
Internal Medicine - Pulmonary Disease in Enid, OK

Active since March 10, 2009
312 E OWEN K GARRIOTT RD, ENID, OK 73701(580) 233-0595(580) 234-1968 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Enid Lung & Kidney Clinic Pllc NPPES

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

ENID LUNG & KIDNEY CLINIC PLLC (NPI 1225279987) is a healthcare organization registered as a pulmonary disease in Enid, Oklahoma and active in the NPI registry since March 2009. The organization lists Prabhu D Vijayvargiya, Owner, as its authorized official.

NPPES Registry Identity

NPI1225279987
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameENID LUNG & KIDNEY CLINIC PLLC
Location Address312 E OWEN K GARRIOTT RDEnid, OK 73701-5712
Mailing AddressPo Box 3885Enid, OK 73702-3885 · (580) 233-0595 · Fax (580) 234-1968
Fax(580) 234-1968
Organization SubpartNo
Authorized OfficialPrabhu D VijayvargiyaOwner · (580) 233-0595
Enumeration DateMarch 10, 2009
Last NPPES UpdateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1225279987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
312 E OWEN K GARRIOTT RD, Enid, OK 73701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Enid Lung & Kidney Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Enid Lung & Kidney Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Pulmonary Disease
NPI 1487705265
615 E OKLAHOMA AVE STE 208
Enid, OK 73701
(814) 335-0580
✔ PECOS✔ Accepts Medicare1.6 mi
Nephrology
NPI 1306949235
312 E GARRIOTT RD
Enid, OK 73701
(580) 233-0595
✔ PECOS✔ Accepts Medicare1.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Enid Lung & Kidney Clinic PLLC's NPI number?

The NPI number for Enid Lung & Kidney Clinic PLLC is 1225279987. It was assigned to this organization in the NPPES registry on March 10, 2009.

Where is Enid Lung & Kidney Clinic PLLC located?

Enid Lung & Kidney Clinic PLLC is located at 312 E Owen K Garriott Rd, Enid, OK 73701. The listed phone number is (580) 233-0595.

What is Enid Lung & Kidney Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Enid Lung & Kidney Clinic PLLC enrolled in Medicare?

Yes. Enid Lung & Kidney Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Enid Lung & Kidney Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Enid Lung & Kidney Clinic PLLC, in Nephrology and Pulmonary Disease. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Enid Lung & Kidney Clinic PLLC was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.