DR. VIJAY S. KOLLENGODE M.D.
NPI 1841515749
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 02, 2010PECOS Enrolled
79.24/100
CMS Quality Rating
4077 5TH AVE, SAN DIEGO, CA 92103(858) 699-6407 Get Directions Write a Review

NPPES record last updated: April 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vijay S. Kollengode M.d. NPPES

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

DR. VIJAY S. KOLLENGODE M.D. (NPI 1841515749) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841515749
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. VIJAY S. KOLLENGODECredential: M.D.
Location Address4077 5TH AVESan Diego, CA 92103-2105
Mailing Address16306 Alpine PlLa Mirada, CA 90638-6528 · (858) 699-6407
Sole ProprietorNo
Enumeration DateApril 2, 2010
NPI 1841515749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4077 5TH AVE, San Diego, CA 92103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vijay S. Kollengode M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

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.

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
20 services20 patients

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.

79.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.57
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
4077 5TH AVE, BEHAVIORAL HEALTH OUTPATIENT - LEVEL D
SAN DIEGO, CA 92103
Pharmacist
4077 5TH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Primary Care)
4077 5TH AVE
SAN DIEGO, CA 92103
Hospitalist
4077 5TH AVE, MER 127
SAN DIEGO, CA 92103
Physical Therapist
4077 5TH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Adult Health)
4077 5TH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 5TH AVE
SAN DIEGO, CA 92103
Social Worker (Clinical)
4077 5TH AVE
SAN DIEGO, CA 92103

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 Vijay Kollengode's NPI number?

The NPI number for Vijay Kollengode is 1841515749. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Vijay Kollengode located?

Vijay Kollengode practices at 4077 5th Ave, San Diego, CA 92103. The listed phone number is (858) 699-6407.

What is Vijay Kollengode's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vijay Kollengode enrolled in Medicare?

Yes. Vijay Kollengode is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vijay Kollengode was last updated on April 2, 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.