Luis Vaccarello, M.D.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

35063432 Issued in OH

Practice address

3100 Plaza Properties Blvd
Columbus, OH 43219-1531

Phone

(614) 383-6000

Fax

(614) 383-6001

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lvaccarello@zangcenter.direct.varian.com
• Direct secure messaging: lvaccarello1143520@direct.trinity-health.org

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.

• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment NPD
• Ohiohealth Corporation

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mount Carmel Health

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1184646705
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1225034622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 OLD STONE RD",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PLAZA PROPERTIES BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191531",
            "telephone_number": "614-383-6000",
            "fax_number": "614-383-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARELLO",
        "first_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "OH",
            "license": "35063432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0879367",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "35063432",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uzoma Nwankwo-Njoku
• Brenda Chinonso Uzomba I, NURSE AIDE
• Catherine C Uzomba
• Charise Marie Vacca, P.T.
• Michael Vacca, MA, LICDC-CS
• William Vaccariello
• Claudia Angelina Vaccaro, MT-BC
• Patrick S. Vaccaro, M.D.
• Vacco LLC
• Theresa Lynn Vacheresse, DPM

• Gynecologic Oncology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Gynecologic Oncology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.

Verify at the official NPI Registry.