Active NPI
Randal N Vinther, M.D.
- Internal Medicine Physician
- Nacogdoches, TX
National Provider Identifier
1780688648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H7246
- Practice address
- 409 Russel Blvd
Suite D
Nacogdoches, TX 75965-1248 - Phone
- (936) 569-8205
- Fax
- (936) 560-6962
- NPI assigned
- Jun 9, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H7246 | TX | Primary |
Addresses
Primary practice location
409 Russel Blvd
Suite D
Nacogdoches, TX 75965-1248
Mailing address
409 Russel Blvd
Suite D
Nacogdoches, TX 75965-1248
Phone (936) 569-8205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H7246 | Other | TX | TEXAS MEDICAL LICENSE |
| 00D54F | Other | TX | BLUE CROSS BLUE SHIELD TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060314000776 | TX | Practitioner - Internal Medicine | 5890702971 | Practice locations: Nacogdoches, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of New Mexico School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
409 Russell Blvd
Suite D
Nacogdoches, TX 75965-1248
Phone (936) 569-8204
Hospital & facility affiliations
- Angels Care Home Health
- Elara Caring
- Happy at Home Healthcare
- Enhabit Home Health
- Hospice of East Texas
- Nacogdoches Medical Center
- Nacogdoches Memorial Hospital
- Avir at Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fannin County Hospital Authority | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- Center, TX
- NPI 1396330510
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Nacogdoches, TX
- NPI 1871510388
-
- Community Based Hospice Care Agency
- Tyler, TX
- NPI 1790788958
-
- Home Health Agency
- Henderson, TX
- NPI 1972911964
-
- Home Health Agency
- Jasper, TX
- NPI 1285627190
-
- Rural Acute Care Hospital
- Nacogdoches, TX
- NPI 1801831748
-
- Home Health Agency
- Palestine, TX
- NPI 1831194018
-
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1780688648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 RUSSEL BLVD",
"address_2": "SUITE D",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651248",
"telephone_number": "936-569-8205",
"fax_number": "936-560-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 RUSSEL BLVD",
"address_2": "SUITE D",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651248",
"telephone_number": "936-569-8205",
"fax_number": "936-560-6962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINTHER",
"first_name": "RANDAL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H7246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "H7246",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "00D54F",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.