MR. VIJAYKUMAR LINGEGOWDA (MD) – Hospitalist Physician, NPI 1205838844
Hospitalist Physician
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Profile Insights
NPPES metrics only — not quality of care.
903 INTERNAL MEDICINE in UT
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Provider Addresses for MR. VIJAYKUMAR LINGEGOWDA (MD)
PO BOX 1249
BOUNTIFUL, UT 840111249
Phone: (801) 673-7661
Fax: (801) 951-2389
Type: Mailing
St. Mark's Hospital, 1200, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
SUITE 4B
SALT LAKE CITY, UT 84124
Phone: (866) 500-7071
Fax: (866) 500-7081
Type: Location
2545 S Bruce St Ste 200
Las Vegas, NV 891691778
Phone: (702) 732-2438
Fax: (702) 737-5043
Type: Location
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: 2018-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040719000421 | I | Nephrology | NV | TBD |
| I20110208000598 | I | Internal Medicine | UT | TBD |
| I20181116002454 | I | Hospitalist | NM | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | GA | |
| - | NV | |
| Internal Medicine | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | NV | |
| Internal Medicine | ID | |
| Internal Medicine | OR | |
| Emergency Medicine | CO | |
| Physician Assistant | ND | |
| - | UT |
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