DR. PRAVEEN VIJHANI M.D
NPI 1841545852
Internal Medicine - Pulmonary Disease in Edinburg, TX

Q: What is Praveen Vijhani's NPI number?

The NPI number for Praveen Vijhani is 1841545852. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Q: What is Praveen Vijhani'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 Praveen Vijhani was last updated on November 13, 2023. 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 July 16, 2012PECOS EnrolledAccepts Medicare Assignment

5501 S MCCOLL RD, EDINBURG, TX 78539(956) 362-8677(956) 362-7253 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2023, May 11, 2023, Mar 22, 2023 and 4 more (7 updates tracked since 2018).

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About Dr. Praveen Vijhani M.d NPPES

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

DR. PRAVEEN VIJHANI M.D (NPI 1841545852) is an individual pulmonary disease provider in Edinburg, Texas, licensed in Texas (T0972) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Mission Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1841545852

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. PRAVEEN VIJHANICredential: M.D

Location Address5501 S MCCOLL RDEdinburg, TX 78539-5503

Mailing AddressPo Box 6148Mcallen, TX 78502-6148 · (956) 362-8677 · Fax (956) 362-7253

Phone(956) 362-8677

Fax(956) 362-7253

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 16, 2012

Last NPPES UpdateNovember 13, 20237 updates tracked since enumeration

NPPES CertifiedNovember 13, 2023

✔ NPI 1841545852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · T0972

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 · Critical Care MedicineTaxonomy 207RC0200X · License T0972 (TX)

5501 S MCCOLL RD, Edinburg, TX 78539

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Praveen Vijhani 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 ID7214283407

PECOS Enrollment IDI20210723000607

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 2

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.

300 services114 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.

40 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450176

Location900 South Bryan RoadMission, TX 78572 · Hidalgo County

Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450869

Location5501 South MccollEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers26 claims26 services$18.85 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$918.91 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers44 claims44 services$100.44 avg. paid by Medicare

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

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.

MR. ADOLFO ARTEAGA APRN-CNP

Nurse Practitioner (Acute Care)