NPIMap

Individual provider Active NPI

Vamshidhar Reddy Vootla, M.D.

  • Gastroenterology Physician
  • Hagerstown, MD
National Provider Identifier
1144485467
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D813701 Issued in MD
Practice address
11110 Medical Campus Rd Ste 242
Hagerstown, MD 21742-6728
Phone
(240) 513-7072
NPI assigned
Jul 25, 2008
Last updated
Mar 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 004077 NY
Gastroenterology Physician 207RG0100X D813701 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 242
Hagerstown, MD 21742-6728

Mailing address

11110 Medical Campus Rd Ste 242
Hagerstown, MD 21742-6728
Phone (240) 513-7072

Other practice location 1

12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone (240) 964-8717

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vamshidhar.vootla@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822000057 MD Practitioner - Gastroenterology 3678720034 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700
Phone (301) 790-9496

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8300

3 Byrkit Dr
Williamsport, MD 21795-1158
Phone (301) 582-1150

351 N Pennsylvania Ave
Hancock, MD 21750-1046
Phone (240) 752-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.94 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
69.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy154
Upper gastrointestinal (GI) endoscopy for acid reflux207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D813701MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jul 13, 2016 Accepting new patients
Upmc Western Maryland Corporation Internal Medicine Current Accepting new patients
Upmc Western Maryland Health Services, LLC Internal Medicine Current Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Jan 12, 2024 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jul 13, 2016 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jan 12, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8724

12502 Willowbrook Rd
Apt 5F
Cumberland, MD 21502

12502 Willowbrook Rd
Ste 400
Cumberland, MD 21502
Phone (240) 964-8740

12502 Willowbrook Rd
Ste 640
Cumberland, MD 21502
Phone (240) 964-8717

11110 Medical Campus Rd
Ste 24
Hagerstown, MD 21742

11110 Medical Campus Rd
Ste 242
Hagerstown, MD 21742
Phone (240) 291-2366

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

351 N Pennsylvania Ave
Hancock, MD 21750
Phone (240) 752-6000

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1144485467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 242",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426728",
            "telephone_number": "240-513-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 242",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426728",
            "telephone_number": "240-513-7072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12502 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026491",
            "country_code": "US",
            "telephone_number": "240-964-8717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOOTLA",
        "first_name": "VAMSHIDHAR",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "004077",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D813701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vamshidhar.vootla@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.