VIKRAM B. MRUTHYUNJAYANNA (M.D.) – Hospitalist Physician, NPI 1871648626

VIKRAM B. MRUTHYUNJAYANNA (M.D.) is a healthcare provider. based in Wallingford, Connecticut. specializing in HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 045017 (CT). The NPI Number for VIKRAM B. MRUTHYUNJAYANNA (M.D.) is 1871648626

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
VIKRAM B. MRUTHYUNJAYANNA (M.D.)
NPI
1871648626
Phone
(203) 284-2800
Address
PO BOX 400
Enumeration Date
24 January 2007
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8084320000
Graduation Year
2002 (24 years ago)
PAC ID
8426150723
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20070619000606
Address ID
HI968191469HO3288XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

766 HOSPITALIST in CT

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Provider Addresses for VIKRAM B. MRUTHYUNJAYANNA (M.D.)

  • PO BOX 400

    GAYLORD FARM RD

    WALLINGFORD, CT 064927048

    Phone: (203) 284-2800

    Fax: (203) 679-3598

    Type: Mailing

  • Gaylord Farm Road, Wallingford, New Haven County, Connecticut, 06492, United States

    WALLINGFORD, CT 06492

    Phone: (203) 284-2800

    Fax: (203) 679-3598

    Type: Location

  • 3288 MOANALUA RD

    HONOLULU, HI 968191469

    Phone: (808) 432-0000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070619000606IHospitalistHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4515$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 06492)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618880667View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
O P T O M E T R YHI
-HI
Physician AssistantHI
Emergency MedicineVA
Orthopedic SurgeryHI
Internal MedicineHI
Orthopedic SurgeryHI
-HI
-CO

Reviews

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Frequently asked questions

How do I look up VIKRAM B. MRUTHYUNJAYANNA (M.D.) by NPI?
Use NPI 1871648626 when you need to reference VIKRAM B. MRUTHYUNJAYANNA (M.D.) in forms, claims, or directories.
Is VIKRAM B. MRUTHYUNJAYANNA (M.D.) active in the national directory?
VIKRAM B. MRUTHYUNJAYANNA (M.D.)'s public NPI profile is in an active state.
What does VIKRAM B. MRUTHYUNJAYANNA (M.D.) treat or focus on?
Patients typically see VIKRAM B. MRUTHYUNJAYANNA (M.D.) under the specialty Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where does public data place VIKRAM B. MRUTHYUNJAYANNA (M.D.)?
The snapshot lists Wallingford, Connecticut for VIKRAM B. MRUTHYUNJAYANNA (M.D.); download NPPES for the complete set.
Is VIKRAM B. MRUTHYUNJAYANNA (M.D.) a real provider?
This page reflects official NPPES data for NPI 1871648626. Always confirm identity and privileges with the practice and licensing boards.

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