NPIMap

Individual provider Active NPI

Vijaya K Chapala, MD

  • Internal Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1174573281
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01076855A Issued in IN
Practice address
1101 Glendale Blvd Ste 102a
Valparaiso, IN 46383-3767
Phone
(219) 464-9521
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45266 AZ
Internal Medicine Physician 207R00000X 9901142 NC
Internal Medicine Physician 207R00000X 01076855A IN Primary

Addresses

Primary practice location

1101 Glendale Blvd Ste 102a
Valparaiso, IN 46383-3767

Mailing address

3630 Willowcreek Road
Portage, IN 46368-5075
Phone (219) 364-3700

Other practice location 1

3630 Willowcreek Rd
Portage, IN 46368-5075
Phone (219) 364-3700

Other identifiers 1

IdentifierTypeStateIssuer
201366760MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vijaya.chapala.1@2340.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160623001468 IN Practitioner - Internal Medicine 2668666868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

2505 Calumet Ave
Valparaiso, IN 46383-2715
Phone (219) 548-3843

650 Dickinson Rd
Chesterton, IN 46304-3387

Hospital & facility affiliations

  • Caretenders Home health agency, Valparaiso, IN, CCN 157034
  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9901142NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Care Physicians - Mountain, PA Internal Medicine Past Accepting new patients
Arizona Specialty Physicians Past Accepting new patients
Porter Physician Services LLC Internal Medicine PastSince Dec 28, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vijaya.chapala.1@2340.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1174573281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 WILLOWCREEK ROAD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685075",
            "telephone_number": "219-364-3700",
            "fax_number": "219-759-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD STE 102A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "219-464-9521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 Willowcreek Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685075",
            "country_code": "US",
            "telephone_number": "219-364-3700",
            "fax_number": "219-759-1804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPALA",
        "first_name": "VIJAYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45266",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9901142",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01076855A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201366760",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vijaya.chapala.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 Glendale Blvd Ste 102A",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463833767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.