Active NPI
Christina J Vandepol, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Southeastern, PA
National Provider Identifier
1174727606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD046913L
- Practice address
- 1000 W Valley Rd
Suite 647
Southeastern, PA 19399-9998 - Phone
- (610) 687-5999
- NPI assigned
- Jun 11, 2007
- Last updated
- Jan 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA04934700 | NJ | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD046913L | PA | Primary |
Addresses
Primary practice location
1000 W Valley Rd
Suite 647
Southeastern, PA 19399-9998
Mailing address
403 W Lafayette St
West Chester, PA 19380-2207
Phone (610) 246-4560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150210001535 | PA | Order and Referring Only - Internal Medicine | 7911222195 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04934700 | NJ | MD | Internal Medicine Physician |
| MD046913L | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
Interoperability endpoints
- christina.vandepol.1@13312.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1174727606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W LAFAYETTE ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193802207",
"telephone_number": "610-246-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W VALLEY RD",
"address_2": "SUITE 647",
"city": "SOUTHEASTERN",
"state": "PA",
"postal_code": "193999998",
"telephone_number": "610-687-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEPOL",
"first_name": "CHRISTINA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA04934700",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD046913L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southeastern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.