Individual provider Active NPI

Vincent C Ganapini, DO

  • Gastroenterology Physician
  • Portage, MI
National Provider Identifier
1487094397
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2025022580 Issued in MO
Practice address
3304 Cooley CT
Portage, MI 49024-7430
Phone
(269) 349-2266
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5880 TN
Gastroenterology Physician 207RG0100X 5101027745 MI
Gastroenterology Physician 207RG0100X 60319859 NY
Gastroenterology Physician 207RG0100X 2025022580 MO Primary

Addresses

Primary practice location

3304 Cooley CT
Portage, MI 49024-7430

Mailing address

3304 Cooley CT
Portage, MI 49024-7430
Phone (269) 349-2266

Other practice location 1

8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755
Phone (901) 747-3630

Other practice location 2

4321 Washington St Ste 5100
Kansas City, MO 64111-5933
Phone (913) 491-9100

Other practice location 3

20 Progress Point Pkwy Ste 206
O Fallon, MO 63368-2207
Phone (636) 344-1073

Other identifiers 1

IdentifierTypeStateIssuer
Q093088MedicaidTN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NY, MI, TN, KY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20210809002584 MO Practitioner - Gastroenterology 7810139060 Reassigns benefits to 1 organization
I20230803002626 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7810139060 Reassigns benefits to 1 organization
I20240104001981 MI Practitioner - Gastroenterology 7810139060 Reassigns benefits to 1 organization
I20240823000358 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 7810139060 Reassigns benefits to 1 organization
I20260526000868 KY Practitioner - Gastroenterology 7810139060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Icahn School of Medicine at Mount SinaiGroup PAC ID 8224282926, 317 clinicians
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Suite 100
Saint Peters, MO 63376-1659
Phone (636) 916-7272

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952

8000 Wolf River Blvd
Suite 200
Germantown, TN 38138-1755
Phone (901) 684-5503

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Elmhurst Hospital Center Hospital, Elmhurst, NY, CCN 330128
  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • Progress West Hospital Hospital, Ofallon, MO, CCN 260219

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Upper gastrointestinal (GI) endoscopy for acid reflux18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101027745MIMDGastroenterology Physician
60319859NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Jan 15, 2024 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Gastroenterology Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jun 17, 2023 Accepting new patients
Physician Groups LC CurrentSince Jul 28, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 17, 2023 Accepting new patients
Physician Groups LC Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients

Locations

601 John St
Ste M-302
Kalamazoo, MI 49007
Phone (269) 276-0000

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266

20 Progress Point Pkwy
Ste 206
O Fallon, MO 63368
Phone (636) 344-1073

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

70 Jungermann Cir
Ste 201
Saint Peters, MO 63376
Phone (636) 916-9525

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: vganapini3488711@nychhc.direct-ci.com
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 10

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1487094397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 COOLEY CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247430",
            "telephone_number": "269-349-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 COOLEY CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247430",
            "telephone_number": "269-349-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Wolf River Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381755",
            "country_code": "US",
            "telephone_number": "901-747-3630",
            "fax_number": "901-747-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4321 Washington St Ste 5100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641115933",
            "country_code": "US",
            "telephone_number": "913-491-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Progress Point Pkwy Ste 206",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633682207",
            "country_code": "US",
            "telephone_number": "636-344-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANAPINI",
        "first_name": "VINCENT",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "5880",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101027745",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "60319859",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2025022580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q093088",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 Jungermann Cir Ste 201",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.