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VIJAY PETHKAR MD PLLC
NPI 1356474415
Internal Medicine - Pulmonary Disease in Mount Juliet, TN

Active since March 14, 2007
780 N MOUNT JULIET RD, MOUNT JULIET, TN 37122(615) 758-9273(615) 758-4821 Get Directions Write a Review

NPPES record last updated: February 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vijay Pethkar Md Pllc NPPES

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

VIJAY PETHKAR MD PLLC (NPI 1356474415) is a healthcare organization registered as a pulmonary disease in Mount Juliet, Tennessee and active in the NPI registry since March 2007. The organization lists Vijay Pethkar, Owner, as its authorized official.

NPPES Registry Identity

NPI1356474415
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameDR. VIJAY PETHKAR MD PLLC
Location Address780 N MOUNT JULIET RDMount Juliet, TN 37122-3323
Mailing Address780 N Mount Juliet RdMount Juliet, TN 37122-3323 · (615) 758-9273 · Fax (615) 758-4821
Phone(615) 758-9273
Fax(615) 758-4821
Organization SubpartNo
Authorized OfficialVijay PethkarOwner · (615) 727-1963
Enumeration DateMarch 14, 2007
Last NPPES UpdateFebruary 5, 2023
NPPES CertifiedFebruary 5, 2023
✔ NPI 1356474415 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 TN · MD31687
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 · Sleep MedicineTaxonomy 207RS0012X · License MD31687
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X · License MD31687 (TN)
780 N MOUNT JULIET RD, Mount Juliet, TN 37122
Open in Google Maps ↗

Other Names 1

Other NameVijay Pethkar Md Pllc

Other Identifiers 1

Medicaid3729715TN

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)

Vijay Pethkar Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vijay Pethkar MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vijay Pethkar, MD
Pulmonary Disease
NPI 1669470555
780 NORTH MT JULIET RD
Mt Juliet, TN 37122
(615) 758-9273
✔ PECOS✔ Accepts MedicareSame address

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 Dr. Vijay Pethkar MD PLLC's NPI number?

The NPI number for Dr. Vijay Pethkar MD PLLC is 1356474415. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is also known as Vijay Pethkar MD PLLC.

Where is Dr. Vijay Pethkar MD PLLC located?

Dr. Vijay Pethkar MD PLLC is located at 780 N Mount Juliet Rd, Mount Juliet, TN 37122. The listed phone number is (615) 758-9273.

What is Dr. Vijay Pethkar MD PLLC's specialty?

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

Is Dr. Vijay Pethkar MD PLLC enrolled in Medicare?

Yes. Dr. Vijay Pethkar MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Vijay Pethkar MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Dr. Vijay Pethkar MD PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Vijay Pethkar MD PLLC was last updated on February 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.