Individual provider Active NPI

Kendall Charles Vague, M.D.

  • Orthopaedic Surgery Physician
  • Jasper, AL
National Provider Identifier
1114925237
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9565 Issued in AL
Practice address
2950 Highway 78 E
Jasper, AL 35501-8903
Phone
(205) 221-5374
Fax
(205) 384-1453
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9565 AL
Orthopaedic Surgery Physician 207X00000X 9565 AL Primary

Addresses

Primary practice location

2950 Highway 78 E
Jasper, AL 35501-8903

Mailing address

2950 Highway 78 E
Jasper, AL 35501-8903
Phone (205) 221-5374

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000130 AL Practitioner - Orthopedic Surgery 1254356975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

2950 Hwy 78 E
Jasper, AL 35501-8903
Phone (205) 221-5374

Hospital & facility affiliations

  • Prohealth Home Health, LLC Home health agency, Birmingham, AL, CCN 017179
  • Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement19
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9565ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Sep 24, 2020 Accepting new patients
Baptist Health Centers LLC Specialist CurrentSince Sep 24, 2020 Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

2950 Highway 78 E
Jasper, AL 35501
Phone (205) 221-5374

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01B0
  • bcbs alabama network 01I0
  • bcbs alabama network 01C0
  • bcbs alabama network 01A0
  • bcbs alabama network 01E0
  • bcbs alabama network 01G0

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1114925237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018903",
            "telephone_number": "205-221-5374",
            "fax_number": "205-384-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018903",
            "telephone_number": "205-221-5374",
            "fax_number": "205-384-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGUE",
        "first_name": "KENDALL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "9565",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "9565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.