Individual provider Active NPI

Vinay Govind Bhoplay, MD

  • Obstetrics & Gynecology Physician
  • Renton, WA
National Provider Identifier
1477648459
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD61034441 Issued in WA
Practice address
400 S 43Rd St
Renton, WA 98055-5714
Phone
(206) 575-2598
NPI assigned
Oct 4, 2006
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD61034441 WA Primary
Obstetrics & Gynecology Physician 207V00000X 15438 OK

Addresses

Primary practice location

400 S 43Rd St
Renton, WA 98055-5714

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

Other practice location 1

1211 N Shartel Ave
Suite 1006
Oklahoma City, OK 73103-2400
Phone (405) 235-4149

Other practice location 2

500 SW 44th St
Oklahoma City, OK 73109-3540
Phone (405) 632-6688

Other identifiers 3

IdentifierTypeStateIssuer
2188379MedicaidWA
100113900AMedicaidOK
200017500AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, WA2 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
I20040123000285 OK Practitioner - Obstetrics/Gynecology 5698677649 Reassigns benefits to 1 organization
I20220106001399 WA Practitioner - Obstetrics/GynecologyPractitioner - Hospitalist 5698677649 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61034441WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jul 24, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Valley Medical Group-Renton CurrentSince Dec 3, 2021 Accepting new patients
Multicare Health System CurrentSince Jul 24, 2023 Accepting new patients
William a Collazo, M.D., F.a.C.C. PastSince Sep 25, 2012 Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1477648459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688",
            "fax_number": "844-689-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555714",
            "telephone_number": "206-575-2598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 N Shartel Ave",
            "address_2": "SUITE 1006",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731032400",
            "country_code": "US",
            "telephone_number": "405-235-4149",
            "fax_number": "405-235-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 SW 44th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731093540",
            "country_code": "US",
            "telephone_number": "405-632-6688",
            "fax_number": "844-689-9671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHOPLAY",
        "first_name": "VINAY",
        "middle_name": "GOVIND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61034441",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "15438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2188379",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113900A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200017500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.