Vivian Kalu, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. Her current practice location is
55 Fruit St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 726-2000.
Vivian Kalu is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073253241.
Physician's Profile
| Full Name | Vivian Kalu |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 55 Fruit St, Boston, Massachusetts |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073253241
- Provider Enumeration Date: 03/29/2022
- Last Update Date: 11/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688183304
- Enrollment ID: I20250604001168
Medical Identifiers
Medical identifiers for Vivian Kalu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073253241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RA0401X | Internal Medicine - Addiction Medicine | 3015469 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | 1022386 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vivian Kalu is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Vivian Kalu, MD 55 Fruit St, Boston, MA 02114-2696 Ph: () - | Vivian Kalu, MD 55 Fruit St, Boston, MA 02114-2696 Ph: (617) 726-2000 |
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