NPIMap

Individual provider Active NPI

Charles Christian Vining, M.D.

  • Surgical Oncology Physician
  • Hershey, PA
National Provider Identifier
1225441959
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD462470 Issued in PA
Practice address
500 University Dr Ste C5522
Hershey, PA 17033-2391
Phone
(717) 531-5965
Fax
(717) 531-3649
NPI assigned
Jun 10, 2014
Reactivated
Mar 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Oncology Physician 2086X0206X MD462470 PA Primary

Addresses

Primary practice location

500 University Dr Ste C5522
Hershey, PA 17033-2391

Mailing address

500 University Dr # C5522
Hershey, PA 17033-2391
Phone (800) 243-1455

Other practice location 1

3400 Spruce Street (Hospital of The University of Penns
General Surgery Residency Program
Philadelphia, PA 19104
Phone (215) 662-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211019000284 PA Practitioner - Surgical Oncology 7315335601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8407

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Sep 1, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 1, 2021 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients
The Milton S Hershey Medical Center Past Accepting new patients

Locations

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
Ste C5522
Hershey, PA 17033
Phone (717) 531-5965

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
#C5522
Hershey, PA 17033

Organizations & group practices 5

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 4

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1225441959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR # C5522",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332391",
            "telephone_number": "800-243-1455",
            "fax_number": "717-531-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR STE C5522",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332391",
            "telephone_number": "717-531-5965",
            "fax_number": "717-531-3649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce Street (Hospital of The University of Penns",
            "address_2": "General Surgery Residency Program",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-662-4000",
            "fax_number": "215-662-7983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINING",
        "first_name": "CHARLES",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "deactivation_date": "2015-01-14",
        "reactivation_date": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MD462470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.