Individual provider Active NPI

Vipin Khetarpal, MD

  • Cardiovascular Disease Physician
  • Saginaw, MI
National Provider Identifier
1427089200
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301062327 Issued in MI
Practice address
1015 S Washington Ave
Saginaw, MI 48601-2556
Phone
(989) 754-3000
Fax
(989) 755-1365
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301062327 MI
Interventional Cardiology Physician 207RI0011X 4301062327 MI
Cardiovascular Disease Physician 207RC0000X 4301062327 MI Primary

Addresses

Primary practice location

1015 S Washington Ave
Saginaw, MI 48601-2556

Mailing address

1015 S. Washington Ave.
Saginaw, MI 48601
UM
Phone (989) 754-3000

Other identifiers 16

IdentifierTypeStateIssuer
381908328OtherPPOM
700G361110OtherBLUE CARE NETWORK MI
1003216OtherMCLAREN HEALTHPLAN
110192800OtherRR MEDICARE
381908328112OtherCCM OF MICHIGAN
4122001OtherMOLINA HEALTH CARE MI
123064OtherGREAT LAKES HEALTH PLAN
381908328OtherTRICARE
TYPE 77MedicaidMI
09885594OtherHEALTHPLUS OF MICHIGAN
1003216OtherHEALTH ADVANTAGE
381908328OtherONE HEALTH PLAN
381908328OtherHCAP
381908328OtherFIRST HEALTH
700G361110OtherBCBS OF MICHIGAN
7151013OtherAETNA UNDER ID 381908328

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vipin.khetarpal.1@11016.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040701000819 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678550266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

100 W Argyle St
Suite 4
Sandusky, MI 48471-1097
Phone (989) 754-3000

1015 S Washington Ave
Saginaw, MI 48601-2556

1117 S Van Dyke Rd
Suite 300
Bad Axe, MI 48413-8467
Phone (989) 754-3000

120 N Delaware St
Sandusky, MI 48471-1009
Phone (989) 754-3320

200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 907-7636

2050 E Caro Rd
Caro, MI 48723-9320
Phone (989) 907-7636

295 Maple St
Tawas City, MI 48763-9352

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8000

805 W Cedar St
Standish, MI 48658-9526
Phone (989) 846-3455

826 W King St
Owosso, MI 48867-2120
Phone (989) 754-3000

9900 Birch Run Rd
Birch Run, MI 48415-9609
Phone (989) 799-1350

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121
  • McKenzie Health System Hospital, Sandusky, MI, CCN 231314
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301062327MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince Oct 1, 2011 Accepting new patients
Mymichigan Medical Center Saginaw Internal Medicine Current Accepting new patients
Mymichigan Medical Center Saginaw Cardiovascular Disease CurrentSince Oct 1, 2011 Accepting new patients
Memorial Hospital CurrentSince Mar 1, 2021 Accepting new patients
Memorial Hospital Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

9900 Birch Run Rd
Birch Run, MI 48415
Phone (989) 624-1500

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

234 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-5024

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188

Interoperability endpoints

  • Direct secure messaging: vkhetarpal1134635@direct.hfhs.org

Organizations & group practices 9

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 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1427089200",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1015 S. WASHINGTON AVE.",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48601",
            "telephone_number": "989-754-3000",
            "fax_number": "989-755-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
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            "telephone_number": "989-754-3000",
            "fax_number": "989-755-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHETARPAL",
        "first_name": "VIPIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
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            "taxonomy_group": "",
            "desc": "Internal Medicine",
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            "license": "4301062327",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301062327",
            "primary": false
        },
        {
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        }
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    "identifiers": [
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            "state": null
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            "issuer": "RR MEDICARE",
            "identifier": "110192800",
            "state": null
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        {
            "code": "01",
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            "issuer": "CCM OF MICHIGAN",
            "identifier": "381908328112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH CARE MI",
            "identifier": "4122001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "123064",
            "state": null
        },
        {
            "code": "01",
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            "issuer": "TRICARE",
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            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TYPE 77",
            "state": "MI"
        },
        {
            "code": "01",
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            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "09885594",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE",
            "identifier": "1003216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "381908328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCAP",
            "identifier": "381908328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "381908328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "700G361110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA UNDER ID 381908328",
            "identifier": "7151013",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vipin.khetarpal.1@11016.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486012556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.