Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kavitha Vijayasekar, MD

Individual provider Gastroenterology Physician · NPI 1114421690

Kavitha Vijayasekar, MD is a Gastroenterology in Merrick, New York. Qualified in 2018, 8 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
8
Licensed in
NE
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1068 Susan Ct
Merrick, NY 11566-1325
Phone: (860) 878-8955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 9156 (NE)

Record details

NPI number1114421690
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2018
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address1068 Susan Ct, Merrick, NY 11566-1325

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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