| Dr Vijai Sathyan Tivakaran, DO | |
|
4160 Little York Rd, Suite 20, Dayton, OH 45414-5800 | |
| (937) 454-9527 | |
| (937) 454-9532 |
| Full Name | Dr Vijai Sathyan Tivakaran |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 28 Years |
| Location | 4160 Little York Rd, Dayton, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841269271 | NPI | - | NPPES |
| 3132676 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 219747 (New York) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 34008775 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Troy Hospital | Troy, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Soin Medical Center | Beaver creek, OH | Hospital |
| Greene Memorial Hospital | Xenia, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vijai Sathyan Tivakaran, DO 4160 Little York Rd, Suite 20, Dayton, OH 45414-5800 Ph: (937) 454-9527 | Dr Vijai Sathyan Tivakaran, DO 4160 Little York Rd, Suite 20, Dayton, OH 45414-5800 Ph: (937) 454-9527 |
Ratnam A Oza, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1100 S Main St, Ste. 203, Dayton, OH 45409 Phone: 937-222-0603 Fax: 937-222-7122 | |
Dr. Mohamed Elmouelhi, MD, PHD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 Phone: 937-268-6511 | |
Freesia Dhingra, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4100 W. Third St., Dayton, OH 45428 Phone: 937-268-6511 | |
James P Graham, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1520 S Main St, # 2, Dayton, OH 45409 Phone: 937-461-5815 Fax: 937-461-2896 | |
Ugochukwu Nwokoro, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1735 Big Hill Rd, Dayton, OH 45439 Phone: 937-224-4325 Fax: 937-224-4327 | |
Dr. Howard M Gross, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8881 N Main St, Dayton, OH 45415 Phone: 937-293-1622 Fax: 937-245-6308 | |
Dr. Mark D Romer, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3120 Governors Place Blvd, Dayton, OH 45409 Phone: 937-293-1622 Fax: 937-245-6308 |