Active NPI
Henry Joseph Vanpala, M.D.
- Gastroenterology Physician
- Raleigh, NC
National Provider Identifier
1710241658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 28586
- Practice address
- 4822 Six Forks Rd
Suite 104
Raleigh, NC 27609-5269 - Phone
- (919) 795-1399
- Fax
- (919) 821-5170
- NPI assigned
- Jun 26, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 005421 | GA | |
| Gastroenterology Physician | 207RG0100X | 35424 | SC | |
| Gastroenterology Physician | 207RG0100X | 28586 | NC | Primary |
| Gastroenterology Physician | 207RG0100X | 010125463 | VA |
Addresses
Primary practice location
4822 Six Forks Rd
Suite 104
Raleigh, NC 27609-5269
Mailing address
2500 Dunhaven Dr
Garner, NC 27529-5104
Phone (919) 795-1399
Other names 1
- Henry Joseph Vanpala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Human Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1631 Midtown PL
Suite 101
Raleigh, NC 27609-1300
Phone (919) 977-1675
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
Hospital & facility affiliations
- Amedisys Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28586 | NC | MD | Gastroenterology Physician |
| 35424 | SC | MD | Gastroenterology Physician |
| 010125463 | VA | MD | Gastroenterology Physician |
| 005421 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solstas Lab Partners Group LLC | Past | Accepting new patients |
Interoperability endpoints
- henry.vanpala.1@9096.direct.athenahealth.com
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.
-
- Gastroenterology Physician
- Raleigh, NC
- NPI 1669883435
-
- Clinical Medical Laboratory
- Valdosta, GA
- NPI 1407850985
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Durham, NC
- NPI 1083669873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1710241658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 DUNHAVEN DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275295104",
"telephone_number": "919-795-1399",
"fax_number": "919-821-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 SIX FORKS RD",
"address_2": "SUITE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095269",
"telephone_number": "919-795-1399",
"fax_number": "919-821-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANPALA",
"first_name": "HENRY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "005421",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "SC",
"license": "35424",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "28586",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "010125463",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HENRY",
"last_name": "VANPALA",
"middle_name": "JOSEPH",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.