Individual provider Active NPI

Jay Vangerpen, MD

  • Neurology Physician
  • Huntsville, AL
National Provider Identifier
1174585590
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME94701 Issued in FL
Practice address
2317 Memorial Pkwy SW Ste 300
Huntsville, AL 35801-5623
Phone
(256) 881-4112
Fax
(256) 881-4105
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME94701 FL Primary

Addresses

Primary practice location

2317 Memorial Pkwy SW Ste 300
Huntsville, AL 35801-5623

Mailing address

2317 Memorial Pkwy SW Ste 300
Huntsville, AL 35801-5623
Phone (256) 881-4112

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
I20201009001369 AL Practitioner - Neurology 6709897762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Vanderbilt University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Huntsville PCGroup PAC ID 3678674082, 14 clinicians

Practice addresses (Care Compare)

2317 Memorial Pkwy SW
Suite 300
Huntsville, AL 35801-5856
Phone (256) 881-4112

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Muscle Shoals, AL, CCN 017326
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as apm
Quality
82.81
Promoting interoperability
83.07
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Huntsville, P.C. Neurology CurrentSince Aug 10, 2020 Accepting new patients

Locations

2317 Memorial Pkwy SW
Ste 300
Huntsville, AL 35801
Phone (256) 881-4112

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDJCD/Endpoint/IIDJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDJCD

Organizations & group practices 1

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 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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1174585590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 MEMORIAL PKWY SW STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015623",
            "telephone_number": "256-881-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 MEMORIAL PKWY SW STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015623",
            "telephone_number": "256-881-4112",
            "fax_number": "256-881-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGERPEN",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME94701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.