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

Madhusudan Vijayan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770078487

Madhusudan Vijayan is an Internal Medicine in Bronx, New York. Qualified in 2016, 10 years ago. Practices with Cogent Healthcare of Decatur, LLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Licensed in
AL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone: (718) 918-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Pelham Pkwy S, Bronx, NY 10461-1197 — (617) 710-6254

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD.47724 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770078487
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address1400 Pelham Pkwy S, Bronx, NY 10461-1197

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cogent Healthcare Of Decatur, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bronx