Individual provider Active NPI

James Nhiakao Vang, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Saint Paul, MN
National Provider Identifier
1508949348
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
656 Issued in MN
Practice address
225 University Ave W
Ste 126
Saint Paul, MN 55103-3907
Phone
(651) 290-2000
Fax
(651) 290-2121
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 656 MN Primary

Addresses

Primary practice location

225 University Ave W
Ste 126
Saint Paul, MN 55103-3907

Mailing address

225 University Ave W
Ste 126
Saint Paul, MN 55103-3907
Phone (651) 290-2000

Other practice location 1

1030 Payne Avenue
St. Paul, MN 55130
Phone (651) 774-2020

Other identifiers 6

IdentifierTypeStateIssuer
149R4FOOtherMNBLUE CROSS BLUE SHIELD
423601029964OtherMNPREFERRED ONE
054942800MedicaidMN
79140OtherMNHEALTH PARTNERS
2700242OtherMNMEDICA
167471OtherMNUCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000513 MN Practitioner - Podiatry 4486790458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 University Ave W
Suite 126
Saint Paul, MN 55103-3907
Phone (651) 290-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
656MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Care Center, PA CurrentSince Jul 1, 2001 Accepting new patients
Vang Chiropractic Past Accepting new patients

Locations

1030 Payne Ave
Saint Paul, MN 55130
Phone (651) 744-2020

225 University Ave W
Ste 126
Saint Paul, MN 55103
Phone (651) 290-2000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1508949348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 UNIVERSITY AVE W",
            "address_2": "STE 126",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551033907",
            "telephone_number": "651-290-2000",
            "fax_number": "651-290-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 UNIVERSITY AVE W",
            "address_2": "STE 126",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551033907",
            "telephone_number": "651-290-2000",
            "fax_number": "651-290-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Payne Avenue",
            "address_purpose": "LOCATION",
            "city": "St. Paul",
            "state": "MN",
            "postal_code": "55130",
            "country_code": "US",
            "telephone_number": "651-774-2020",
            "fax_number": "651-774-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANG",
        "first_name": "JAMES",
        "middle_name": "NHIAKAO",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "149R4FO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "423601029964",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054942800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "79140",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2700242",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "167471",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.