Individual provider Active NPI

Vipul Thakorbhai Amin, MD

  • Gastroenterology Physician
  • Gadsden, AL
National Provider Identifier
1720070659
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
23716 Issued in AL
Practice address
1026 Goodyear Ave BLDG 400
Suite 201
Gadsden, AL 35903-1102
Phone
(256) 467-4477
Fax
(256) 467-4830
NPI assigned
Aug 17, 2005
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 23716 AL Primary

Addresses

Primary practice location

1026 Goodyear Ave BLDG 400
Suite 201
Gadsden, AL 35903-1102

Mailing address

1026 Goodyear Ave BLDG 400
Suite 201
Gadsden, AL 35903-1102
Phone (256) 467-4477

Other identifiers 2

IdentifierTypeStateIssuer
100014620OtherALRAILROAD MEDICARE
009940010MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20041124000252 AL Practitioner - Gastroenterology 1254396799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etowah Gastroenterology Associates, PCGroup PAC ID 0244295764, 2 clinicians

Practice addresses (Care Compare)

1026 Goodyear Ave
Suite 201
Gadsden, AL 35903-1194
Phone (256) 467-4477

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy440
Upper gastrointestinal (GI) endoscopy for acid reflux549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23716ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Specialists of N.E. Alabama, P.C. CurrentSince Dec 1, 1991 Accepting new patients
The Health Care Authority of the City of Anniston PastSince Apr 30, 2003 Accepting new patients

Locations

395 Northwood Dr
Centre, AL 35960
Phone (256) 547-6331

900 Goodyear Ave
Ste A
Gadsden, AL 35903
Phone (205) 546-4777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEDBCA/Endpoint/IEDBCA
  • Direct secure messaging: vipul.amin@egap.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1720070659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE BLDG 400",
            "address_2": "SUITE 201",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031102",
            "telephone_number": "256-467-4477",
            "fax_number": "256-467-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE BLDG 400",
            "address_2": "SUITE 201",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031102",
            "telephone_number": "256-467-4477",
            "fax_number": "256-467-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "VIPUL",
        "middle_name": "THAKORBHAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "23716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100014620",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940010",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.