VIMAL JAYSWAL MD NPI 1124250915

NPI Information

NPI: 1124250915
Provider Name: VIMAL JAYSWAL, MD
Classification: Pediatrics - 2080P0202X
Specialization: Pediatric Cardiology
Entity Type: Individual
PECOS Registration: Yes
Address: 11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN
ZIP 46845
Phone: (260) 425-6100

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NPI Details

Vimal Jayswal, MD is a pediatric cardiology pediatrics in Fort Wayne, IN with 21 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Vimal Jayswal, MD NPI is 1124250915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN
ZIP 46845-707
Phone: (260) 425-6100
Fax: (260) 425-6105

The NPI 1124250915 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2009 and was last updated on 10/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		35.097422	OHIO	No
2	2080P0202X	Pediatrics	Pediatric Cardiology	01079115	INDIANA	No
3	2080P0202X	Pediatrics	Pediatric Cardiology	35.097422	OHIO	No
4	2080P0202X	Pediatrics	Pediatric Cardiology	01079115A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0102438	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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