Vepa LLC
Organization Active NPI General Practice Physician · Springfield, OH
NPI 1124475504 · NPPES record last updated May 16, 2016
Key facts
- NPI
- 1124475504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 201613003416 (OH)
- Legal business name
- VEPA LLC
- Practice address
- 2655 W National Rd
Springfield, OH 45504-3617 - Phone
- (937) 430-1230
- NPI assigned
- May 16, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Parminder Modgil, MD
- Title
- Owner
- Phone
- (937) 430-1230
Practitioners 4
-
Kimberly Ann McCutcheon, NP-C
-
Cheryl L Minney, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160621001896 | OH | Part B Supplier - Clinic/Group Practice | 0648561761 |
Receives reassigned benefits from 4 practitioners Practice locations: Centerville, OH; Springfield, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 201613003416 | OH | Yes |
Addresses
Primary practice location
2655 W National Rd
Springfield, OH 45504-3617
Mailing address
1140 Charter PL
Centerville, OH 45458-3943
Phone (937) 430-1230
Other providers in Springfield, OH
- Sanju Andrew Varghese
- Katrina Vaske
- Umamaheswara Rao Vellanki
- Siva Ramaiah Vemana
- Tricia L Venable
- Ashley Verba
- Peter William Veremis
- Incise Bethsaida Versailles
- Sondra Vertrees
- Allison Veskauf
All providers in Springfield, OH · General Practice Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.