VIVEK BALUJA M.D. NPI 1538205539

NPI Information

NPI: 1538205539
Provider Name: VIVEK BALUJA, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
35 MICHIGAN ST NE
SUITE 3003
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 267-2500
Get Directions

Vivek Baluja, M.D. is a neurology psychiatry neurology in Grand Rapids, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Vivek Baluja, M.D. NPI is 1538205539. 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:

35 MICHIGAN ST NE
SUITE 3003
GRAND RAPIDS, MI
ZIP 49503-514
Phone: (616) 267-2500
Fax: (616) 267-2501

The NPI 1538205539 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 1/29/2007 and was last updated on 10/25/2020.

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	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	4301102633	MICHIGAN	No
2	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	P20581	MARYLAND	No
3	2084N0400X	Psychiatry & Neurology	Neurology	MED-PHYS-LIC-76853	MONTANA	No
4	2084N0400X	Psychiatry & Neurology	Neurology	18778	NEW HAMPSHIRE	No
5	2084N0400X	Psychiatry & Neurology	Neurology	14954	NORTH DAKOTA	No
6	2084N0400X	Psychiatry & Neurology	Neurology	26126	MISSISSIPPI	No
7	2084N0400X	Psychiatry & Neurology	Neurology	MD191107	OREGON	No
8	2084N0400X	Psychiatry & Neurology	Neurology	35.132402	OHIO	No
9	2084N0400X	Psychiatry & Neurology	Neurology	TM00763	TEXAS	No
10	2084N0400X	Psychiatry & Neurology	Neurology	ME132291	FLORIDA	Yes
11	2084N0400X	Psychiatry & Neurology	Neurology	4301102633	MICHIGAN	No

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
1	3116042	MEDICAID	NEW HAMPSHIRE
2	62004271	MEDICAID	COLORADO
3	1538205539	MEDICAID	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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