NPIMap

Individual provider Active NPI

Caleb Vass, D.O

  • Family Medicine Physician
  • Dublin, VA
National Provider Identifier
1588198949
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102206156 Issued in VA
Practice address
4550 Lee Hwy Ste B
Dublin, VA 24084-3802
Phone
(540) 674-4560
Fax
(540) 674-4713
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102206156 VA Primary

Addresses

Primary practice location

4550 Lee Hwy Ste B
Dublin, VA 24084-3802

Mailing address

2000 Health Park Dr FL HP2
Brentwood, TN 37027-4525
Phone (615) 372-7600

Other practice location 1

3700 South Main Street
Blacksburg, VA 24060
Phone (540) 951-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601000061 VA Practitioner - Family Practice 9830462126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

4550 Lee Hwy
Suite B
Dublin, VA 24084-3820
Phone (540) 674-4560

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Gale Physicians LLC CurrentSince Jul 6, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2000 Health Park Dr
Fl HP2
Brentwood, TN 37027

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

1600 Roanoke St
Ste D
Christiansburg, VA 24073
Phone (540) 251-1394

4550 Lee Hwy
Ste B
Dublin, VA 24084
Phone (540) 674-4560

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: caleb.vass@hca6.eclinicaldirectplus.com

Organizations & group practices 1

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 7

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1588198949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR FL HP2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-372-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 LEE HWY STE B",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843802",
            "telephone_number": "540-674-4560",
            "fax_number": "540-674-4713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 South Main Street",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "24060",
            "country_code": "US",
            "telephone_number": "540-951-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASS",
        "first_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

Verify at the official NPI Registry.