DR. VIKRAM BARPUJARI (NPI# 1396729190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396729190 |
| Entity Type | Individual |
| Full Name | DR. VIKRAM BARPUJARI |
| Credential | M.D. |
| Practice Address |
1750 E Lake Shore Dr Suite 310 Decatur IL 62521-3803 |
| Practice Telephone | 2174641220 |
| Practice Fax Number | 2174641229 |
| Mailing Telephone | 2174641220 |
| Mailing Fax Number | 2174641229 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036129480 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 0000161491 | 01 |
| PA | HORIZON BLUE SHIELD | 0000673779 | 01 |
| PA | PERSONAL CHOICE | 0769653000 | 01 |
| PA | PA. BLUE SHIELD | 0000348038 | 01 |
| PA | AETNA US HEALTHCARE | 0030907 | 01 |
| PA | KEYSTONE HEALTH PLAN EAST | 0769653000 | 01 |
| PA | AMERIHEALTH | 0769653000 | 01 |
| PA | UNITED HEALTH CARE | 00001981917 03 | 01 |
| PA | BOEING BLUE SHIELD | 0000673779 | 01 |
| PA | BLAIR MILL | 0000348038 | 01 |
| Street Address |
1750 E LAKE SHORE DR SUITE 310 |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621516 | Jon Fredrick Petersen | Family Medicine | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2005-10-03 |
| 1265947451 | Antoniannette Pate | Nurse Practitioner | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2017-12-10 |
| 1578093225 | Jason Blanchetti | Nurse Practitioner | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2017-06-15 |
| 1992182331 | Alyson Webb | Nurse Practitioner | 1750 E Lake Shore Dr, Ste 310, Decatur, IL 62521-3803 | 2015-05-06 |
| 1932527017 | Adills Moosa | Preventive Medicine | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2014-04-04 |
| 1841579026 | Justin William Kierbs | Nurse Practitioner | 1750 E Lake Shore Dr, Suite 200, Decatur, IL 62521-3803 | 2011-08-05 |
| 1194012260 | Nikesh Lath | Surgery | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 | 2011-07-08 |
| 1922319839 | Chinelo C Echeazu | Obstetrics & Gynecology | 1750 E Lake Shore Dr, Suite 110, Decatur, IL 62521 | 2010-06-24 |
| 1215267596 | Vikram S Kotwal | Internal Medicine | 1750 E Lake Shore Dr, Suite 310, Decatur, IL 62521-3803 | 2010-01-08 |
| 1396073813 | Mohammed A. Rahman | Neurological Surgery | 1750 E Lake Shore Dr, 110, Decatur, IL 62521-3803 | 2009-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952875932 | Aimee Lin Simington | Internal Medicine | 609 Medical Center Dr Ste 2600, Decatur, TX 76234-3846 | 2019-01-14 |
| 1669762480 | Riverside Gastroenterology PC | Internal Medicine | 1304 Somerville Rd Se, Decatur, AL 35601-4354 | 2011-04-13 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1417134008 | Andrew Simpson | Internal Medicine | 2675 N Decatur Rd Ste 506, Decatur, GA 30033-6134 | 2008-01-25 |
| 1124180674 | Jeanette N Keith | Internal Medicine | 1208 Somerville Rd Se, Decatur, AL 35601-4335 | 2006-12-14 |
| 1417027277 | Shirley Ann Harris | Internal Medicine | 3292 Mountain Dr, Suite A, Decatur, GA 30032-1102 | 2006-11-09 |
| 1649206095 | Khurshid Yousuf | Internal Medicine | 1103 15th Ave Se, Decatur, AL 35601-3345 | 2006-06-25 |
| 1790761443 | Attupuram Joseph Alexander | Internal Medicine | 2282 Highway 31 S, Suite 117, Decatur, AL 35601-6512 | 2005-12-15 |
| 1851377527 | Venkata Babu Kantamneni | Internal Medicine | 2828 Highway 31 South, Suite 117, Decatur, AL 35602 | 2005-12-15 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.