RAJEEV VIBHAKAR MD NPI 1699753376
Pediatrics - Pediatric Hematology-Oncology in Aurora, CO

About RAJEEV VIBHAKAR MD

Rajeev Vibhakar is a pediatrician established in Aurora, Colorado and his medical specialization is Pediatrics with a focus in pediatric hematology-oncology . The NPI number of Rajeev Vibhakar is 1699753376 and was assigned on January 2006. The practitioner's primary taxonomy code is 2080P0207X with license number 47629 (CO). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1699753376
Provider Name RAJEEV VIBHAKAR MD
Location Address13123 E 16TH AVE AURORA, CO 80045
Location Phone(720) 777-1234
Mailing AddressPO BOX 876 AURORA, CO 80040
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date01-04-2006
Last Update Date01-04-2011

A pediatrician like Rajeev Vibhakar Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.Rajeev Vibhakar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 88.6, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code2080P0207X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Hematology-Oncology
License No.47629
License StateCO
Taxonomy DescriptionA pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

RAJEEV VIBHAKAR MD
13123 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 777-1234

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Mailing Address

RAJEEV VIBHAKAR MD
PO BOX 876
AURORA, CO
ZIP 80040
Phone: (303) 493-7000


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 94.8
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 75
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 66.1
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 88.6
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
CO304759MEDICARE PIN (08)CO
66706335MEDICAID (05)CO

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699753376
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891456314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 5 + 6 + 3 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1699753376 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841288065 LISA WANGER PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1972586436 JOYCE MARIE GIBBONS PA C
Individual
Physician Assistant13123 E 16TH AVE B145
AURORA, CO 80045
(720) 777-6652
1316921398 DAVID ECKHARDT PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1992771091 STANLEY LOFTNESS MD
Individual
Anesthesiology13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1134196538 SEAN O'LEARY MD
Individual
Pediatrics (Pediatric Infectious Diseases)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1073582706 FREDERICK SUCHY M.D.
Individual
Pediatrics (Pediatric Gastroenterology)13123 E 16TH AVE THE CHILDRENS HOSPITAL
AURORA, CO 80045
(720) 777-1234
1154385987 ROBIN SAWARYNSKI PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1649238593 DUNCAN WILCOX MD
Individual
Urology (Pediatric Urology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1902856511DR. KRISTA A YORK MD
Individual
Pediatrics13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1225074594 KENDRA BJORAKER PHD
Individual
Clinical Neuropsychologist13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1144258815 ERIKA SIDNEY MD
Individual
Pediatrics (Pediatric Emergency Medicine)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1003844143 ROBERT KRAMER MD
Individual
Pediatrics (Pediatric Gastroenterology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1356379952 TRISTA BOWYER MD
Individual
Pediatrics13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1104854645 RICHARD HENDERSHOT MD
Individual
Anesthesiology13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1679504039 TRAVIS HEARE MD
Individual
Orthopaedic Surgery13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1427089440 BETSEY H BUCCA LCSW
Individual
Social Worker (Clinical)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1932
1376561183 PATRICIA LAVESSER OTR
Individual
Occupational Therapist13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1184645806DR. DESMOND K RUNYAN MD
Individual
Pediatrics13123 E 16TH AVE B390
AURORA, CO 80045
(303) 864-5364
1659395127MS. MELANIE SABERIAN PNP
Individual
Nurse Practitioner (Pediatrics)13123 E 16TH AVE THE CHILDREN'S HOSPITAL
AURORA, CO 80045
(720) 777-1234
1770592073 REGINA REYNOLDS MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234

Frequently Asked Questions

What is Rajeev Vibhakar MD NPI number?

The NPI number assigned to Rajeev Vibhakar MD is 1699753376, registered as an "individual" on January 04, 2006

Where is Rajeev Vibhakar MD located?

The provider is located at 13123 E 16th Ave Aurora, Co 80045 and the phone number is (720) 777-1234

Which is Rajeev Vibhakar MD specialty?

The provider's speciality is Pediatrics with a focus in Pediatric Hematology-Oncology

What insurance does Rajeev Vibhakar MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Rajeev Vibhakar MD registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Rajeev Vibhakar MD Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How do I update my NPI information?

The NPI record of Rajeev Vibhakar MD was last updated on January 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]