DR. RASHMI VIJAYVARGIYA M.D
NPI 1306949235
Internal Medicine - Nephrology in Enid, OK

Q: What is Rashmi Vijayvargiya's NPI number?

The NPI number for Rashmi Vijayvargiya is 1306949235. It was assigned to this individual provider in the NPPES registry on September 6, 2006. The provider is also known as Dr. Rashmi Vijayvargiya M.D.

Q: What is Rashmi Vijayvargiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment

85.7/100

CMS Quality Rating

312 E GARRIOTT RD, ENID, OK 73701(580) 233-0595(580) 234-1968 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Rashmi Vijayvargiya M.d NPPES

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

DR. RASHMI VIJAYVARGIYA M.D (NPI 1306949235) is an individual nephrology provider in Enid, Oklahoma, licensed in Oklahoma (26691) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Alliancehealth Woodward, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1306949235

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. RASHMI VIJAYVARGIYACredential: M.D

Location Address312 E GARRIOTT RDEnid, OK 73701-5712

Mailing AddressPo Box 3885Enid, OK 73702-3885 · (580) 233-0595 · Fax (580) 234-1968

Phone(580) 233-0595

Fax(580) 234-1968

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateSeptember 6, 2006

Last NPPES UpdateApril 21, 2010

✔ NPI 1306949235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in OK · 26691

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

312 E GARRIOTT RD, Enid, OK 73701

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Other Names 1

Professional Name (2)Dr. Rashmi Vijayvargiya M.d

Other Identifiers 3

OtherVI809151PA · Bluecrossblueshield

Medicare ID-Type UnspecifiedVI809151PA

Other1382601PA · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, UnitedHealthcare.Insurance ›

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

Dr. Rashmi Vijayvargiya 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 ID7012065956

PECOS Enrollment IDI20090501000368

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.

Medicare Billing Reassignment

Medicare enrollment records show Rashmi Vijayvargiya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Enid Lung & Kidney Clinic PLLC

1.9 mi

Pulmonary Disease

312 E OWEN K GARRIOTT RD
Enid, OK 73701

Reassigned Medicare billing, Oklahoma enrollment
2 clinicians in this Medicare group

NPI 1225279987 (580) 233-0595

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

Areas of Expertise CMS Part B claims 12

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.

1,145 services652 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.

634 services109 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

565 services82 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

278 services37 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

250 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

196 services196 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.

163 services119 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.

80 services38 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.

50 services49 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services17 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

22 services17 patients

Dialysis training completed 90989

Dialysis training has been completed. This means you've learned how to manage your own dialysis treatment, typically at home. The training includes understanding your dialysis machine, how to monitor your vital signs, and how to react to potential complications.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Alliancehealth Woodward

Acute Care Hospitals · Woodward, OK

2/5 CMS rating

OwnershipProprietary

CMS Certification Number370002

Location900 17th StreetWoodward, OK 73801 · Woodward County

Emergency services

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370016

Location600 South MonroeEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipProprietary

CMS Certification Number370026

Location305 South 5th StreetEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

Newman Memorial Hospital

Critical Access Hospitals · Shattuck, OK

OwnershipGovernment - Local

CMS Certification Number371336

Location905 South Main StreetShattuck, OK 73858 · Ellis County

Emergency services

Share Medical Center

Critical Access Hospitals · Alva, OK

OwnershipGovernment - Hospital District or Authority

CMS Certification Number371341

Location800 Share DriveAlva, OK 73717 · Woods County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73701 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

85.7/100

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

Scored as part of a group practice

Quality

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers49 claims2,235 services$0.31 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers41 claims4,275 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims1,440 services$0.20 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers38 claims4,680 services$0.96 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers45 claims45 services$18.93 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers70 claims115 services$12.52 avg. paid by Medicare

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

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 Rashmi Vijayvargiya's NPI number?

The NPI number for Rashmi Vijayvargiya is 1306949235. It was assigned to this individual provider in the NPPES registry on September 6, 2006. The provider is also known as Dr. Rashmi Vijayvargiya M.D.

Where is Rashmi Vijayvargiya located?

Rashmi Vijayvargiya practices at 312 E Garriott Rd, Enid, OK 73701. The listed phone number is (580) 233-0595.

What is Rashmi Vijayvargiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rashmi Vijayvargiya enrolled in Medicare?

Yes. Rashmi Vijayvargiya 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 organization bills Medicare for Rashmi Vijayvargiya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rashmi Vijayvargiya reassigns Medicare benefits to Enid Lung & Kidney Clinic PLLC (Enid, OK). The 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 Rashmi Vijayvargiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rashmi Vijayvargiya accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Rashmi Vijayvargiya 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 Rashmi Vijayvargiya affiliated with any hospitals?

According to CMS data, Rashmi Vijayvargiya is affiliated with Alliancehealth Woodward, Integris Bass Baptist Health Center, St Mary's Regional Medical Center, Newman Memorial Hospital and Share Medical Center.

When was this NPI record last updated?

The NPPES record for Rashmi Vijayvargiya was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.