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SHALINI VIJAYKUMAR MD
NPI 1881827053
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jefferson Hills, PA

Active since September 03, 2009PECOS EnrolledAccepts Medicare Assignment
575 COAL VALLEY RD, SUITE 573, JEFFERSON HILLS, PA 15025(412) 469-3300(412) 469-7226 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shalini Vijaykumar Md NPPES

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

SHALINI VIJAYKUMAR MD (NPI 1881827053) is an individual endocrinology, diabetes & metabolism provider in Jefferson Hills, Pennsylvania, licensed in Pennsylvania (MD445111) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1881827053
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSHALINI VIJAYKUMARCredential: MD
Location Address575 COAL VALLEY RD, SUITE 573Jefferson Hills, PA 15025-3730
Mailing Address21 Industrial Blvd 100Paoli, PA 19301-1610 · (610) 251-0303 · Fax (610) 251-0304
Phone(412) 469-3300
Fax(412) 469-7226
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 3, 2009
Last NPPES UpdateJuly 14, 2015
✔ NPI 1881827053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD445111
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
575 COAL VALLEY RD, Jefferson Hills, PA 15025
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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

Shalini Vijaykumar Md 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 ID5496910234
PECOS Enrollment IDI20120629000306
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
454 services238 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
186 services79 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
175 services92 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.
122 services71 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.
94 services59 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.
38 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers16 claims208 services$18.25 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers16 claims570 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers67 claims201 services$5.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers17 claims21 services$0.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers222 claims222 services$186.52 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier11 claims11 services$183.90 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.

JEFFERSON ASSOC IN INTERNAL MED
Internal Medicine
575 COAL VALLEY RD, SUITE 405
CLAIRTON, PA 15025
Allegheny County (412) 466-6161
CHET PHITAYAKORN, MD PC
Surgery (Vascular Surgery)
575 COAL VALLEY RD, SUITE 365
CLAIRTON, PA 15025
Allegheny County (412) 469-7030
HEMATOLOGY ONCOLOGY ASSOCIATION
Durable Medical Equipment & Medical Supplies
575 COAL VALLEY RD, SUITE 404
CLAIRTON, PA 15025
Allegheny County (412) 469-5500
GUILLERMO BORRERO MD
Psychiatry & Neurology (Psychiatry)
575 COAL VALLEY RD, STE 303
CLAIRTON, PA 15025
Allegheny County (412) 469-8933
WENDY WAKEFIELD
Nurse Practitioner
575 COAL VALLEY RD, SUITE EG-01
CLAIRTON, PA 15025
Allegheny County (412) 267-6255
MS. RENEE DEMARINO P.T.
Physical Therapist
575 COAL VALLEY RD, MEDICAL OFFICE BUILDING # 105
CLAIRTON, PA 15025
Allegheny County (412) 466-8811
KATHLEEN A BOWLER PHD, RNCS
Psychologist
575 COAL VALLEY RD, SUITE 203
CLAIRTON, PA 15025
Allegheny County (412) 469-8933
FRANK X STANISH MD
Ophthalmology
575 COAL VALLEY RD, SUITE 461
JEFFERSON HILLS, PA 15025
Allegheny County (412) 466-6800

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 Shalini Vijaykumar's NPI number?

The NPI number for Shalini Vijaykumar is 1881827053. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Where is Shalini Vijaykumar located?

Shalini Vijaykumar practices at 575 Coal Valley Rd Suite 573, Jefferson Hills, PA 15025. The listed phone number is (412) 469-3300.

What is Shalini Vijaykumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Shalini Vijaykumar enrolled in Medicare?

Yes. Shalini Vijaykumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shalini Vijaykumar affiliated with any hospitals?

According to CMS data, Shalini Vijaykumar is affiliated with Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Paoli Hospital, Chester County Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Shalini Vijaykumar was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.