VIJAY THUMMA M.D.
NPI 1982895827
Hospitalist in Stuart, FL

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
200 SE HOSPITAL AVE, STUART, FL 34994(772) 223-5618(772) 288-5834 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vijay Thumma M.d. NPPES

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

VIJAY THUMMA M.D. (NPI 1982895827) is an individual hospitalist provider in Stuart, Florida, licensed in Florida (ME135589) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1982895827
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameVIJAY THUMMACredential: M.D.
Location Address200 SE HOSPITAL AVEStuart, FL 34994-2346
Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-2832 · Fax (772) 781-2716
Fax(772) 288-5834
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 6, 2007
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
NPI 1982895827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in FL · ME135589 Licensed in LA · MD.203826
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD.203826 (LA), 21468 (MS), 90851 (SC)
200 SE HOSPITAL AVE, Stuart, FL 34994

Other Names 1

Other Name (5)Vijay Bhasker Reddy Thumma

Other Identifiers 3

Medicaid100996900FL
OtherYVWSWFL · Florida Blue
Medicaid1001058LA

Accepted 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

Vijay Thumma 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 ID6002008836
PECOS Enrollment IDI20101012000199
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.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
165 services68 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
148 services140 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
137 services135 patients
Follow-up hospital inpatient care per day, typically 25 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.
79 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services62 patients
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.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%37 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

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
3 suppliers16 claims16 services$89.21 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.

Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE, ANESTHESIA DEPARTMENT
STUART, FL 34994
Pathology (Anatomic Pathology & Clinical Pathology)
200 SE HOSPITAL AVE, PATHOLOGY DEPARTMENT
STUART, FL 34994
Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE
STUART, FL 34994
Internal Medicine (Pulmonary Disease)
200 SE HOSPITAL AVE
STUART, FL 34994
Emergency Medicine
200 SE HOSPITAL AVE
STUART, FL 34994
Radiology (Diagnostic Radiology)
200 SE HOSPITAL AVE
STUART, FL 34994
Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE
STUART, FL 34994
Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE
STUART, FL 34994

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 Thumma's NPI number?

The NPI number for Vijay Thumma is 1982895827. It was assigned to this individual provider in the NPPES registry on August 6, 2007. The provider is also known as Vijay Bhasker Reddy Thumma.

Where is Vijay Thumma located?

Vijay Thumma practices at 200 SE Hospital Ave, Stuart, FL 34994. The listed phone number is (772) 223-5618.

What is Vijay Thumma's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Vijay Thumma enrolled in Medicare?

Yes. Vijay Thumma 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.

What insurance does Vijay Thumma accept?

Health plans from HMO Louisiana list Vijay Thumma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vijay Thumma affiliated with any hospitals?

According to CMS data, Vijay Thumma is affiliated with North Oaks Medical Center.

When was this NPI record last updated?

The NPPES record for Vijay Thumma was last updated on November 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.