Individual provider Active NPI

Henry Joseph Vanpala, M.D.

  • Gastroenterology Physician
  • Raleigh, NC
National Provider Identifier
1710241658
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
28586 Issued in NC
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

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140110001426 NC Practitioner - Internal Medicine 7517191216 Reassigns benefits to 1 organization

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
North Hills Internal and Integrative Medicine, PAGroup PAC ID 7618194226, 3 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

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 Home health agency, Durham, NC, CCN 347110

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28586NCMDGastroenterology Physician
35424SCMDGastroenterology Physician
010125463VAMDGastroenterology Physician
005421GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Solstas Lab Partners Group LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.