Individual provider Active NPI

Vinay Madhukar Kamble, D.O.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1275595167
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M1813 Issued in TX
Practice address
7800 Shoal Creek Blvd
Suite 120W
Austin, TX 78757-1098
Phone
(512) 407-8880
Fax
(512) 407-8681
NPI assigned
Apr 5, 2006
Last updated
Jul 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1813 TX
Internal Medicine Physician 207R00000X 5101014427 MI
Family Medicine Physician 207Q00000X M1813 TX Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X M1813 TX

Addresses

Primary practice location

7800 Shoal Creek Blvd
Suite 120W
Austin, TX 78757-1098

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

Other identifiers 1

IdentifierTypeStateIssuer
4472251MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060130000432 TX Practitioner - Internal Medicine 7012921034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Imaging PLLCGroup PAC ID 7012975527, 25 clinicians

Practice addresses (Care Compare)

1717 Rotary Dr
Humble, TX 77338-5235
Phone (281) 272-6277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101014427MIMDInternal Medicine Physician
M1813TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Family Medicine CurrentSince Aug 20, 2014 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 20, 2014 Accepting new patients
Vpa of Texas PLLC Family Medicine Current Accepting new patients
Professional Imaging, PLLC Geriatric Medicine CurrentSince Aug 12, 2022 Accepting new patients
Vpa PC Family Medicine Past Accepting new patients
Vpa PC Family Medicine Past Accepting new patients

Locations

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

7800 Shoal Creek Blvd
Ste 118W
Austin, TX 78757
Phone (512) 374-0700

7800 Shoal Creek Blvd
Ste 120W
Austin, TX 78757
Phone (512) 407-8680

2019 N Frazier St
Conroe, TX 77301
Phone (936) 441-2120

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

1301 W 7th St
Ste 121
Ft Worth, TX 76102
Phone (817) 348-0425

4400 Gulf Ave
Groves, TX 77619
Phone (409) 962-5785

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

1717 Rotary Dr
Humble, TX 77338
Phone (817) 296-7282

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1275595167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD",
            "address_2": "SUITE 120W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571098",
            "telephone_number": "512-407-8880",
            "fax_number": "512-407-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBLE",
        "first_name": "VINAY",
        "middle_name": "MADHUKAR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1813",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101014427",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1813",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M1813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4472251",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.