Active NPI
Mark L. Vaporean, M.D.
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1003812140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28611
- Practice address
- 3800 Ridgeway Dr
Birmingham, AL 35209-5506 - Phone
- (205) 568-9526
- NPI assigned
- Jun 23, 2005
- Last updated
- Jul 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28611 | AL | Primary |
| Nephrology Physician | 207RN0300X | 28611 | AL |
Addresses
Primary practice location
3800 Ridgeway Dr
Birmingham, AL 35209-5506
Mailing address
2808 Regency CT
Birmingham, AL 35242-1421
Phone (205) 568-9526
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3104003 | Other | MO | UNITED HEALTHCARE |
| 3711 | Other | MO | HEALTHCARE USA |
| 390001080 | Other | MO | RAILROAD MEDICARE |
| 29386 | Other | MO | BLUE CROSS BLUE SHIELD |
| 656868 | Other | MO | FIRST HEALTH |
| 202734802 | Medicaid | MO | |
| 23877 | Other | MO | GROUP HEALTH PLANS |
| 000623751 | Other | MO | HUMANA |
| 124605 | Other | MO | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincentian Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Care Associates, PC | Internal Medicine | Past | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1851698310
Internal Medicine
-
- Hospitalist Physician
- Birmingham, AL
- NPI 1366840761
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1235536749
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1114015419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1003812140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 REGENCY CT",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352421421",
"telephone_number": "205-568-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RIDGEWAY DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352095506",
"telephone_number": "205-568-9526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAPOREAN",
"first_name": "MARK",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "28611",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AL",
"license": "28611",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3104003",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "3711",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "390001080",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "29386",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "656868",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202734802",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLANS",
"identifier": "23877",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000623751",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "124605",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.