Vipul N Nanavati, MD, BSME, CAQH

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M-14885 Issued in ID

Practice address

3381 W Bavaria St
Eagle, ID 83616-5341

Phone

(208) 639-4800

Fax

(208) 639-4801

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Idaho Shoulder to Hand Specialists PC

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1225613375
  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Murray and Wray

  • Orthopaedic Surgery Physician
  • Manlius, NY
  • NPI 1285740613
  NPD (past)
• Upstate Orthopedics, LLP

  • Durable Medical Equipment & Medical Supplies
  • Camillus, NY
  • NPI 1871290445

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1629074158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6590 W NORWOOD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048765",
            "telephone_number": "208-506-3665",
            "fax_number": "866-554-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 W BAVARIA ST",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165341",
            "telephone_number": "208-639-4800",
            "fax_number": "208-639-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAVATI",
        "first_name": "VIPUL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD, BSME, CAQH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "M-14885",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-14885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629074158",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilarie Murphy
• Matthew C Murray, PHARM.D.
• Patricia Lynn Murray
• Mushin, Inc.
• Alexander Nagle
• Nate Bonovitz Counseling, LLC
• Catie Ardean Navejar
• Kimberly Kaye Nealey, NCC, LCPC, ACADC
• Alan Glen Neighbors, LCSW
• Jessica Shakespeare Neighbors, PSYD, LCSW

• Orthopaedic Surgery Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.