| Vijay Venkata Adimoolam, MD | |
|
6565 N Charles St Ste 512, Baltimore, MD 21204-6826 | |
| (443) 849-3400 | |
| (443) 849-3402 |
| Full Name | Vijay Venkata Adimoolam |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 27 Years |
| Location | 6565 N Charles St Ste 512, Baltimore, Maryland |
| 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 |
|---|---|---|---|
| 1588693857 | NPI | - | NPPES |
| 218995301 | Medicaid | TX |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anne Arundel Medical Center | Annapolis, MD | Hospital |
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Doctors' Community Hospital | Lanham, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 465 |
| Carle Health Care Incorporated | 3577515774 | 912 |
| Mercy Clinics Inc | 7911810882 | 384 |
| Adena Medical Group Llc | 1153456579 | 346 |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Entity Name | Tidalhealth Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Venkata Adimoolam, MD 6701 N. Charles Street, S. Chapman Building, Suite 102, Baltimore, MD 21204 Ph: (443) 849-6775 | Vijay Venkata Adimoolam, MD 6565 N Charles St Ste 512, Baltimore, MD 21204-6826 Ph: (443) 849-3400 |
Dr. Leonard Anang Sowah, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-706-4619 Fax: 410-706-2062 | |
Dr. Bhavandeep Singh Bajaj, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3345 Wilkens Avenue, Suite L10, Baltimore, MD 21229 Phone: 410-644-4444 Fax: 410-644-4484 | |
Dr. Yonas Sisay, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 822 Guilford Ave, #100, Baltimore, MD 21202 Phone: 410-385-9672 | |
Dr. Stephen John Witanowski, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 2700 Quarry Lake Dr, Suite 280, Baltimore, MD 21209 Phone: 410-469-5544 Fax: 410-585-2867 | |
Dr. Susrutha Kotwal, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 4940 Eastern Ave, Mfl Bldg, West Tower, 6th Floor, Baltimore, MD 21224 Phone: 410-550-5018 | |
Dr. Mitesh G Trambadia, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 6701 N Charles St Ste 5218, Baltimore, MD 21204 Phone: 443-849-3786 | |
Ronak K Patel, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 201 E University Pkwy, Baltimore, MD 21218 Phone: 410-554-2000 |