Active NPI
Rahul Kumar Vangala, M.D.
- Allergy & Immunology Physician
- Macon, GA
National Provider Identifier
1366499246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 39257
- 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.
-
- Medical Specialty Clinic/Center
- Macon, GA
- NPI 1831352574
GA
-
- Allergy & Immunology Physician
- Macon, GA
- NPI 1487365524
Allergy & Immunology
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 39257 | GA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Georgia Allergy Asthma and Immunology Center LLC | Allergy & Immunology | Past | Accepting new patients |
| Allergy & Asthma Clinics of Ga | Allergy & Immunology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDAFAA/Endpoint/CDAFAA
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 39257 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.