Individual provider Active NPI

Oleg Vinnikov, MD

  • Hospitalist Physician
  • Doylestown, PA
National Provider Identifier
1265502900
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD425595 Issued in PA
Practice address
595 W State St
Doylestown Hospital
Doylestown, PA 18901
Phone
(215) 345-2885
Fax
(215) 345-2552
NPI assigned
Nov 9, 2006
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD425595 PA
Hospitalist Physician 208M00000X MD425595 PA Primary

Addresses

Primary practice location

595 W State St
Doylestown Hospital
Doylestown, PA 18901

Mailing address

599 W State St
Suite 308
Doylestown, PA 18901
Phone (215) 345-2885

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000294 PA Practitioner - HospitalistPractitioner - Internal Medicine 6709839467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Via AffiliatesGroup PAC ID 1759295512, 180 clinicians
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians

Practice addresses (Care Compare)

595 W State St
Doylestown Health Hospitalists
Doylestown, PA 18901-2554
Phone (215) 345-2885

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425595PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Current Accepting new patients
Clinical Specialty Associates CurrentSince Jan 6, 2026 Accepting new patients
Doylestown Hospital Current Accepting new patients
Via Affiliates Hospitalist CurrentSince Jan 6, 2005 Accepting new patients
Via Affiliates CurrentSince Jan 6, 2005 Accepting new patients
Clinical Specialty Associates CurrentSince Jan 6, 2026 Accepting new patients
Family Care Medical Center Past Accepting new patients
Via Affiliates Internal Medicine Past Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

599 W State St
Ste 308
Doylestown, PA 18901

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAFAA
  • Direct secure messaging: olegvinnikov@dh.medalliesdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1265502900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 W STATE ST",
            "address_2": "SUITE 308",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-345-2885",
            "fax_number": "215-345-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "address_2": "DOYLESTOWN HOSPITAL",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-345-2885",
            "fax_number": "215-345-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINNIKOV",
        "first_name": "OLEG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD425595",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD425595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.