Individual provider Active NPI

Vincent Thomas Vertalino, DO

  • Rheumatology Physician
  • Springville, NY
National Provider Identifier
1770141947
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
321290 Issued in NY
Practice address
224 E Main St
Springville, NY 14141-1497
Phone
(716) 592-8111
NPI assigned
Jun 3, 2019
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 321290 NY Primary

Addresses

Primary practice location

224 E Main St
Springville, NY 14141-1497

Mailing address

224 E Main St
Springville, NY 14141-1497
Phone (716) 592-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240716002918 NY Practitioner - Internal Medicine 8527395979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bertrand Chaffee HospitalGroup PAC ID 0840273496, 32 clinicians

Practice addresses (Care Compare)

210 E Main St
Springville, NY 14141-1453
Phone (716) 592-8140

224 E Main St
Springville, NY 14141-1443
Phone 71659228711202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321290NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bertrand Chaffee Hospital CurrentSince Aug 15, 2024 Accepting new patients

Locations

210 E Main St
Springville, NY 14141
Phone (716) 592-3600

224 E Main St
Springville, NY 14141
Phone (716) 592-2871

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/a7b918c3-56d9-410c-bec6-e3d86fde3f92

Organizations & group practices 1

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 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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1770141947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E MAIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411497",
            "telephone_number": "716-592-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E MAIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411497",
            "telephone_number": "716-592-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTALINO",
        "first_name": "VINCENT",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "321290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, NY

Sources for this page

Verify at the official NPI Registry.