Active NPI
Vinod Chita Vallabh, MD, FRCP
- Gastroenterology Physician
- Cary, NC
National Provider Identifier
1174518880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 31084
- Practice address
- 570 New Waverly PL
#140
Cary, NC 27518-7405 - Phone
- (919) 854-2500
- Fax
- (919) 854-2510
- NPI assigned
- Sep 19, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 31084 | NC | Primary |
Addresses
Primary practice location
570 New Waverly PL
#140
Cary, NC 27518-7405
Mailing address
PO Box 2016
Cary, NC 27512-2016
Phone (919) 854-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7985119 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1174518880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2016",
"city": "CARY",
"state": "NC",
"postal_code": "275122016",
"telephone_number": "919-854-2500",
"fax_number": "919-854-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 NEW WAVERLY PL",
"address_2": "#140",
"city": "CARY",
"state": "NC",
"postal_code": "275187405",
"telephone_number": "919-854-2500",
"fax_number": "919-854-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLABH",
"first_name": "VINOD",
"middle_name": "CHITA",
"name_prefix": "Dr.",
"credential": "MD, FRCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "31084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7985119",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.