Vijay Menon, MD
Pediatrics, Neonatal-Perinatal Medicine in Elizabethtown, KY. Individual provider (NPI-1).
NPI number1124123633
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1124123633
- Entity type
- Individual (NPI-1)
- Name
- Vijay Menon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2006
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 01056824 | IN | Yes |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 55613 | KY |
Practice location
913 N Dixie AveElizabethtown, KY 42701-2503
Phone 270-737-1212
Mailing address
504 Aintree AveHolly Springs, NC 27540-4987
Phone 317-379-6341
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