Individual provider Active NPI

Rahul Kumar Vangala, M.D.

  • Allergy & Immunology Physician
  • Macon, GA
National Provider Identifier
1366499246
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
39257 Issued in GA
Practice address
3964 Elnora Dr
Macon, GA 31210-1825
Phone
(478) 477-1777
Fax
(478) 477-1779
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3964 Elnora Dr
Macon, GA 31210-1825

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20070416000251 GA Practitioner - Allergy/Immunology 7315042611 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39257GAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Georgia Allergy Asthma and Immunology Center LLC Allergy & Immunology Past Accepting new patients
Allergy & Asthma Clinics of Ga Allergy & Immunology PastSince Sep 13, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDAFAA/Endpoint/CDAFAA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 39257 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

3964 Elnora Dr
Macon, GA 31210-1825

Mailing address

3964 Elnora Dr
Macon, GA 31210-1825
Phone (478) 477-1777

Other names 1

NPPES NPI Registry
  • Dr. Rahul K Vangala Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2015.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1366499246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 ELNORA DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101825",
            "telephone_number": "478-477-1777",
            "fax_number": "478-477-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 ELNORA DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101825",
            "telephone_number": "478-477-1777",
            "fax_number": "478-477-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGALA",
        "first_name": "RAHUL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "39257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHUL",
            "last_name": "VANGALA",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.