VIJAY VENKATA ADIMOOLAM (MD) – Gastroenterology Physician, NPI 1588693857

VIJAY VENKATA ADIMOOLAM (MD) is a healthcare provider. based in Boca raton, Florida. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. MD-51129 (IA). The NPI Number for VIJAY VENKATA ADIMOOLAM (MD) is 1588693857

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
VIJAY VENKATA ADIMOOLAM (MD)
NPI
1588693857
Phone
(561) 961-0208
Address
4805 NW 2nd Ave
Enumeration Date
30 June 2006
Last Update Date
2 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7407798530
Graduation Year
1997 (29 years ago)
PAC ID
1658375852
Group Practice PAC ID
1153456579
Professional Enrollment ID
I20241028001933
Address ID
OH456019031CH272XXRDXX310

Contacts

Secure Messaging
adena.gastro@adena.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness95
Years active:19State licenses:5Other names

1,474 GASTROENTEROLOGY in FL

Provider Addresses for VIJAY VENKATA ADIMOOLAM (MD)

  • 4805 NW 2nd Ave

    Boca Raton, FL 334314141

    Phone: (561) 961-0208

    Type: Location

  • 8700 Sudley Rd

    Manassas, VA 201104418

    Phone: (703) 396-5292

    Fax: (703) 396-5297

    Type: Location

  • 272 Hospital Rd Ste 225

    Chillicothe, OH 456019031

    Phone: (740) 779-8530

    Type: Location

  • Greater Baltimore Medical Center, 6701, North Charles Street, Towson, Baltimore County, Maryland, 21204, United States

    S. CHAPMAN BUILDING, SUITE 102

    BALTIMORE, MD 21204

    Phone: (443) 849-6775

    Fax: (438) 493-1384

    Type: Mailing

  • 6565 N CHARLES ST STE 512

    BALTIMORE, MD 212046826

    Phone: (443) 849-3400

    Fax: (443) 849-3402

    Type: Location

  • 6701 N CHARLES ST

    BALTIMORE, MD 212046808

    Phone: (443) 849-6775

    Fax: (438) 493-1384

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,668.

Total Amount is formed as General ($1,668) + Research ($0) + Ownership ($0) = $1,668.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($532).

Total Amount

$1,668

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,668

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 10 Medicare enrollment records; no due dates published yet.

Enrollment records

10

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
I20190910001551IGastroenterologyMDTBD
I20230511003435IGastroenterologyILTBD
I20230601001164IGastroenterologyKYTBD
I20230628002111IGastroenterologyIATBD
I20230731000063IGastroenterologyNCTBD
I20240130003733IGastroenterologyVATBD
I20240426000227IGastroenterologyWVTBD
I20240701001508IGastroenterologyFLTBD
I20241028001933IGastroenterologyOHTBD
I20251112002184IGastroenterologyDETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes152113$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes114114$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare103103$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope103102$0
99213Established patient office or other outpatient visit, 20-29 minutes9473$0
View full utilization report →

Insurance plans in this area (ZIP 33431)

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Provider's Procedures

VIJAY VENKATA ADIMOOLAM (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTX43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope5348
GASTROENTEROLOGYTX45378Diagnostic examination of large bowel using an endoscope5248
GASTROENTEROLOGYTX45385Removal of polyps or growths of large bowel using an endoscope7878

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: 1153456579View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Physician AssistantOH
O T O L A R Y N G O L O G YOH
Certified Nurse Midwife (Cnm)OH
Family PracticeOH
Thoracic SurgeryOH
Gastroenterology, Internal MedicineOH
Physician AssistantOH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Is there an official ID for VIJAY VENKATA ADIMOOLAM (MD) in U.S. healthcare records?
The official identifier for VIJAY VENKATA ADIMOOLAM (MD) is NPI 1588693857.
Active or inactive — what applies to VIJAY VENKATA ADIMOOLAM (MD)?
You should see VIJAY VENKATA ADIMOOLAM (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for VIJAY VENKATA ADIMOOLAM (MD)?
At a glance, VIJAY VENKATA ADIMOOLAM (MD) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is VIJAY VENKATA ADIMOOLAM (MD) associated with Boca Raton?
Public fields place VIJAY VENKATA ADIMOOLAM (MD) around Boca Raton, Florida. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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