Individual provider Active NPI

Vinod Kumar Nookala, M.D.

  • Internal Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1376772269
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD446134 Issued in PA
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

Updated by the provider on May 13, 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 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

IdentifierTypeStateIssuer
102736200MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120807000390 PA Practitioner - Internal MedicinePractitioner - Hospitalist 0244486223 Reassigns benefits to 2 organizations
I20200331002175 NJ Practitioner - Internal Medicine 0244486223 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians
Internal Medicine of Morris County LLCGroup PAC ID 2466428388, 77 clinicians

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 Hospital, Denville, NJ, CCN 310050
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Hospitalist CurrentSince Dec 10, 2023 Accepting new patients
St Marys General Medical Group PC Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine CurrentSince Mar 21, 2020 Accepting new patients
Internal Medicine of Morris County LLC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Passaic Hospitalist Services, LLC Hospitalist CurrentSince Oct 17, 2023 Accepting new patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Oct 2, 2021 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Dec 10, 2023 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Aug 1, 2013 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Nov 30, 2020 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.