Vijay Kolli (NPI# 1013017292, PAC ID# 5092818922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1013017292 |
| PAC ID by PECOS | 5092818922 |
| Professional Enrollment ID | I20150915000627 |
| Full Name | Vijay Kolli |
| Organization Legal Name | CRESCENT INFECTIOUS DISEASES PLLC |
| Address |
1104e State Hwy 152 Mustang OK 73064-5116 |
| Phone Number | 4055633998 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 8820222847 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370037 | ST ANTHONY HOSPITAL |
| 370008 | NORMAN REGIONAL |
| 370234 | OKLAHOMA HEART HOSPITAL SOUTH, LLC |
| Address | Phone | Organization |
|---|---|---|
| 1104e State Hwy 152, Mustang, OK 73064-5116 | 4055633998 | CRESCENT INFECTIOUS DISEASES PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | CRESCENT INFECTIOUS DISEASES PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saud Ahmed | Infectious Disease | Crescent Infectious Diseases Pllc | 1104e State Hwy 152, Mustang, OK 73064-5116 |
| Taylor Lane Winzeler | Physician Assistant | Crescent Infectious Diseases Pllc | 1104e State Hwy 152, Mustang, OK 73064-5116 |
| Ahmad Ashfaq | Infectious Disease | Crescent Infectious Diseases Pllc | 1104e State Hwy 152, Mustang, OK 73064-5116 |
| Street Address |
1104E STATE HWY 152 |
| City | MUSTANG |
| State | OK |
| Zip | 73064-5116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saif U Farooq | Internal Medicine | 1104e State Hwy 152, Mustang, OK 73064-5116 | |
| Saud Ahmed | Infectious Disease | Crescent Infectious Diseases Pllc | 1104e State Hwy 152, Mustang, OK 73064-5116 |
| Taylor Lane Winzeler | Physician Assistant | Crescent Infectious Diseases Pllc | 1104e State Hwy 152, Mustang, OK 73064-5116 |
| Ahmad Ashfaq | Infectious Disease | Crescent Infectious Diseases Pllc | 1104e State Hwy 152, Mustang, OK 73064-5116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keri Waggoner | Qualified Speech Language Pathologist | Accucaretx Inc | 1017 W State Hwy 152, Willowood At Mustang, Mustang, OK 73064-2310 |
| Michelle Oakes | Occupational Therapy | Accucaretx Inc | 1017 W State Hwy 152, Willowood At Mustang, Mustang, OK 73064-2310 |
| Jeff Kimmel | Occupational Therapy | Accucaretx Inc | 1017 W State Hwy 152, Willowood At Mustang, Mustang, OK 73064-2310 |
| Crystopher J Long | Physical Therapy | Accucaretx Inc | 1017 W State Hwy 152, Willowood At Mustang, Mustang, OK 73064-2310 |
| James Donald Mcginn Iii | Nurse Practitioner | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Bradley D Pittman | Physician Assistant | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Rohit Mathew | Physician Assistant | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Shelly A Kelly | Nurse Practitioner | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Travis L Calton | Physical Therapy | Valir Outpatient Clinics LLC | 153 E State Hwy 152, Mustang, OK 73064-4406 |
| Jeanette Q Ngo | Physical Therapy | Valir Outpatient Clinics LLC | 153 E State Hwy 152, Mustang, OK 73064-4406 |
| Find all physicians in zip 73064 | |||
| City | MUSTANG |
| Zip Code | 73064 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | MUSTANG + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Vijay Kolli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.