VIVEK BALUJA M.D. NPI 1538205539

NPI Information

  • NPI: 1538205539
  • Provider Name: VIVEK BALUJA, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35 MICHIGAN ST NE
    SUITE 3003
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 267-2500

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NPI Details

Vivek Baluja, M.D. is a neurology psychiatry neurology in Grand Rapids, MI with 23 years of experience. 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.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

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 11/12/2025.

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
12084V0102XPsychiatry & NeurologyVascular Neurology2017-01338NORTH CAROLINANo
22084N0400XPsychiatry & NeurologyNeurology2017-01338NORTH CAROLINANo
32084N0400XPsychiatry & NeurologyNeurology04-48848KANSASNo
42084N0400XPsychiatry & NeurologyNeurology4301102633MICHIGANNo
52084N0400XPsychiatry & NeurologyNeurology35.132402OHIONo
62080P0008XPediatricsNeurodevelopmental DisabilitiesP20581MARYLANDNo
72084N0400XPsychiatry & NeurologyNeurology14954NORTH DAKOTANo
82084N0400XPsychiatry & NeurologyNeurologyMD191107OREGONNo
92080P0008XPediatricsNeurodevelopmental Disabilities4301102633MICHIGANNo
102084N0400XPsychiatry & NeurologyNeurologyME132291FLORIDAYes
112084N0400XPsychiatry & NeurologyNeurologyMED-PHYS-LIC-76853MONTANANo
122084N0400XPsychiatry & NeurologyNeurology18778NEW HAMPSHIRENo
132084N0400XPsychiatry & NeurologyNeurologyTM00763TEXASNo
142084N0400XPsychiatry & NeurologyNeurology26126MISSISSIPPINo

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
13116042MEDICAIDNEW HAMPSHIRE
21538205539MEDICAIDMICHIGAN
362004271MEDICAIDCOLORADO

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: 11/21/2025

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