DR. KARTHIK VIJAYAN M.D
NPI 1346539574
Internal Medicine - Pulmonary Disease in Gainesville, FL

Q: What is Karthik Vijayan's NPI number?

The NPI number for Karthik Vijayan is 1346539574. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Q: What is Karthik Vijayan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karthik Vijayan was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 28, 2011PECOS Enrolled

78.18/100

CMS Quality Rating

2000 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-8738 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2021, Mar 23, 2017 (2 updates tracked since 2017).

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About Dr. Karthik Vijayan M.d NPPES

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

DR. KARTHIK VIJAYAN M.D (NPI 1346539574) is an individual pulmonary disease provider in Gainesville, Florida, licensed in Florida (ME153032) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1346539574

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. KARTHIK VIJAYANCredential: M.D

Location Address2000 SW ARCHER RDGainesville, FL 32610-1315

Mailing Address1600 Sw Archer RdGainesville, FL 32610-1315 · (352) 273-8738

Phone(352) 273-8738

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMarch 28, 2011

Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2024

✔ NPI 1346539574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in FL · ME153032

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 MedicineTaxonomy 207R00000X · License 57015991 (OH), 35.099272 (OH)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME153032 (FL)

2000 SW ARCHER RD, Gainesville, FL 32610

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karthik Vijayan M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911155817

PECOS Enrollment IDI20211028000289

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 Karthik Vijayan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc

0.4 mi

Surgery

1600 SW ARCHER RD
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
3,324 clinicians in this Medicare group

NPI 1063463768 (352) 265-7922

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 25

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.

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.

177 services80 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

108 services68 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.

101 services75 patients

Aspiration of initial secretion of lung airway using an endoscope 31645

This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.

96 services67 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

56 services48 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

50 services21 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.

45 services45 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.

35 services35 patients

Destruction of growth or narrowing of lung airway using an endoscope 31641

This procedure involves using a special tool called an endoscope to treat abnormal growths or narrowing in the lung airway. The endoscope, inserted through the mouth, allows the doctor to visualize and treat the affected area without making large incisions.

33 services11 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.

30 services13 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

27 services22 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

26 services26 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

24 services23 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

23 services22 patients

Biopsy of lobe of lung using an endoscope, each additional lobe 31632

A biopsy of the lung lobe using an endoscope is a procedure where a small sample of lung tissue is taken for testing. If more than one lobe needs to be examined, the process is repeated. An endoscope, a flexible tube with a light and camera, is used to view and access the lung tissue.

22 services18 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

19 services19 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.

19 services18 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

18 services17 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

17 services17 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

16 services16 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.

16 services16 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

14 services14 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes 31653

This procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.

14 services14 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

14 services13 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100113

Location1600 SW Archer RdGainesville, FL 32610 · Alachua County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

78.18/100

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

Scored as part of a group practice

Quality

72.54

Promoting Interoperability

100

Improvement Activities

Cost

54.74

Other Providers at the Same Location NPPES 5

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

JASON WITTLIN FNP-C

Nurse Practitioner

2000 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-8656

MRS. LISA A BROWN M.S., CGC

Genetic Counselor, MS

2000 SW ARCHER RD, DEPT. HEM/ONC
GAINESVILLE, FL 32610

Alachua County (352) 265-0111

HELEN MCCUNE

Dietitian, Registered

2000 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-0111

TRACY TEICHEN BAGGETT PHYSICIAN ASSISTANT

Physician Assistant

2000 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-8250

DAVID S KAHLER R.PH.

Pharmacist

2000 SW ARCHER RD, SU. 2130
GAINESVILLE, FL 32610

Alachua County (352) 265-0720

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 Karthik Vijayan's NPI number?

The NPI number for Karthik Vijayan is 1346539574. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Karthik Vijayan located?

Karthik Vijayan practices at 2000 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-8738.

What is Karthik Vijayan's specialty?

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

Is Karthik Vijayan enrolled in Medicare?

Yes. Karthik Vijayan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karthik Vijayan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karthik Vijayan reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). 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 Karthik Vijayan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karthik Vijayan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Karthik Vijayan 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 Karthik Vijayan affiliated with any hospitals?

According to CMS data, Karthik Vijayan is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Karthik Vijayan was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.