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

Vijay Pethkar, MD

Individual provider Specialist · NPI 1669470555

Vijay Pethkar, MD is a Pulmonary Disease in Mt Juliet, Tennessee. Qualified in 1985, 41 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
41
Licensed in
TN
In the registry since
2005
Specialties on file
3
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

780 N Mt Juliet Rd
Mt Juliet, TN 37122-0780
Phone: (615) 758-9273
Fax: (615) 758-4821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 031687 (TN)
Specialist Taxonomy 174400000X · Licence MD31687 (TN)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 031687 (TN)

Record details

NPI number1669470555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 13, 2005
Last updated in NPPESFebruary 5, 2023
Certification dateFebruary 5, 2023
Mailing address780 North Mt Juliet Rd, Mt Juliet, TN 37122-0780

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Mt Juliet