| Vijay Kangotra, MD | |
|
111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824 | |
| (215) 955-2370 | |
| Not Available |
| Full Name | Vijay Kangotra |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 111 S 11th St, Philadelphia, Pennsylvania |
| 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 |
|---|---|---|---|
| 1386850808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0101249313 (Virginia) | Primary |
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | MT189631 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Northern Virginia Medical Center | Woodbridge, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pars Anesthesia Associates Pllc | 3779859079 | 3 |
| Smg Anesthesia Specialists Llc | 6305081118 | 235 |
| Entity Name | Smg Anesthesia Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
| Entity Name | Pars Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427574581 PECOS PAC ID: 3779859079 Enrollment ID: O20171031001792 |
| Entity Name | Premier Anesthesia Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255986147 PECOS PAC ID: 1951722362 Enrollment ID: O20200610001253 |
| Entity Name | Surgical Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20230130001161 |
| Entity Name | Inova Cares - Community |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230609002576 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Kangotra, MD 4551 Strutfield Ln, Apt # 4220, Alexandria, VA 22311-4967 Ph: (703) 575-8194 | Vijay Kangotra, MD 111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824 Ph: (215) 955-2370 |
Priscilla Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104 Phone: 215-349-8310 | |
Nicole Lynn Renaldi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507 | |
Monique Lorraine Roberts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000 | |
Sarah Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-349-8310 Fax: 215-893-7270 | |
Akshat Gargya, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Department Of Anesthesiology Temple University Hospital, Philadelphia, PA 19140 Phone: 847-660-4085 | |
Aaron William Montani, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-2000 | |
Kathleen M Veloso, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 |