NPI
Anil Kumar Changarath Vijayan
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MBBS
- Type
- Individual
- Enumeration date
- 2007-11-15
- Last updated
- 2025-08-21
Specialties
- 207RP1001XInternal Medicine, Pulmonary Disease
- 207RP1001XInternal Medicine, Pulmonary Disease
- 207RP1001XInternal Medicine, Pulmonary Disease
- 207RS0012XInternal Medicine, Sleep Medicine
- 207R00000XInternal Medicine
- 207R00000XInternal Medicine
- 207R00000XInternal Medicine
- 207RC0200XInternal Medicine, Critical Care Medicine
- 207RC0200XInternal Medicine, Critical Care Medicine
- 207RC0200XInternal Medicine, Critical Care Medicine
Licenses
- License IL
- 036.125622
- License OH
- 35.121030
- License MN
- 60177
- License IL
- 036125622
- License OH
- 35.121030
- License IL
- 036.125622
- License MN
- 60177
- License IL
- 036.125622
- License OH
- 35.121030
- License MN
- 60177
Location
- Practice location
- 1200 6th Avenue North, Centracare Clinic River Campus
- City
- St Cloud MN
- Postal code
- 56303-2735
- Phone
- (320) 240-2207
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in St Cloud, MN. 528 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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