Active NPI
Dilipkumar S Vagal, M.D.
- Pediatrics Physician
- Palmer, MA
National Provider Identifier
1649381609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 45495
- Practice address
- 40 Wright St
Palmer, MA 01069-1138 - Phone
- (413) 284-5400
- Fax
- (413) 284-5114
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 45495 | MA | Primary |
Addresses
Primary practice location
40 Wright St
Palmer, MA 01069-1138
Mailing address
40 Wright St
Palmer, MA 01069-1138
Phone (413) 284-5400
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100118 | Other | CIGNA | |
| 147575 | Medicaid | MA | |
| 045495 | Other | CONNECTICARE | |
| 12-00989 | Other | UNITED HEALTH CARE | |
| 998293 | Other | NETWORK HEALTH PLAN | |
| Y02535 | Other | MA | BLUECROSS/BLUESHIELD |
| 045495 | Other | TUFTS COMMUNITY HLTH PLAN | |
| 201093 | Other | HARVARD PILGRIM HLTH CARE | |
| 351490 | Other | HEALTHSOURCE CMHC | |
| 25624 | Other | FALLON COMMUNITY HLTH PLA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45495 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649381609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WRIGHT ST",
"city": "PALMER",
"state": "MA",
"postal_code": "010691138",
"telephone_number": "413-284-5400",
"fax_number": "413-284-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WRIGHT ST",
"city": "PALMER",
"state": "MA",
"postal_code": "010691138",
"telephone_number": "413-284-5400",
"fax_number": "413-284-5114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAGAL",
"first_name": "DILIPKUMAR",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "45495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "100118",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147575",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "045495",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "12-00989",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH PLAN",
"identifier": "998293",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "Y02535",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS COMMUNITY HLTH PLAN",
"identifier": "045495",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HLTH CARE",
"identifier": "201093",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE CMHC",
"identifier": "351490",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HLTH PLA",
"identifier": "25624",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.