Active NPI
Vinod Kumar Nookala, M.D.
- Internal Medicine Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD446134
- Practice address
- 205 South Front Street
Bmab 3
Harrisburg, PA 17104-1619 - Phone
- (717) 231-8508
- Fax
- (717) 231-8535
- NPI assigned
- Jul 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD446134 | PA | Primary |
| Hospitalist Physician | 208M00000X | MD446134 | PA |
Addresses
Primary practice location
205 South Front Street
Bmab 3
Harrisburg, PA 17104-1619
Mailing address
409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612
Phone (717) 231-8508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102736200 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141
25 Pocono Rd
Denville, NJ 07834-2954
Phone (973) 927-5788
2501 N 3Rd St
Harrisburg, PA 17110-1904
Phone (717) 782-6493
400 W Blackwell St
Dover, NJ 07801-2525
Phone (973) 927-5788
503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 763-2100
Hospital & facility affiliations
- Saint Clare'S Hospital/ Denville Campus
- Morristown Medical Center
- Cooperman Barnabas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Hospitalist | Current | Accepting new patients |
| St Marys General Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Barnabas Health Medical Group, PC | Internal Medicine | Current | Accepting new patients |
| Internal Medicine of Morris County LLC | Internal Medicine | Current | Accepting new patients |
| Passaic Hospitalist Services, LLC | Hospitalist | Current | Accepting new patients |
| Rwjbh Primary Care Services | Internal Medicine | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Pinnacle Health Hospitalist Services LLC | Internal Medicine | Current | Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Prime Healthcare Services - Saint Clare'S LLC | Past | Accepting new patients |
Locations
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
67 Route 37 W
Ste 102
Toms River, NJ 08755
Phone (732) 228-7466
99 Route 37 W
#5
Toms River, NJ 08755
Phone (732) 477-8988
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
205 S Front St
#3
Harrisburg, PA 17104
Phone (717) 231-8506
2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206
4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044
Organizations & group practices 11
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.
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- Internal Medicine Physician
- Mine Hill, NJ
- NPI 1568570489
-
- Hospitalist Physician
- Harrisburg, PA
- NPI 1023458148
Internal Medicine
-
- Hospitalist Physician
- Paterson, NJ
- NPI 1144903733
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Internal Medicine
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1265037501
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1477261741
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
-
- Hospitalist Physician
- Camp Hill, PA
- NPI 1497409155
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1376772269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST",
"address_2": "SUITE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SOUTH FRONT STREET",
"address_2": "BMAB 3",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041619",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOOKALA",
"first_name": "VINOD",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-13",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD446134",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD446134",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102736200",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.