Individual provider Active NPI

Randal N Vinther, M.D.

  • Internal Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1780688648
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H7246 Issued in TX
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

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
H7246OtherTXTEXAS MEDICAL LICENSE
00D54FOtherTXBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Home health agency, Palestine, TX, CCN 458433
  • Elara Caring Home health agency, Jasper, TX, CCN 677660
  • Happy at Home Healthcare Home health agency, Henderson, TX, CCN 677275
  • Enhabit Home Health Home health agency, Nacogdoches, TX, CCN 679432
  • Hospice of East Texas Hospice, Tyler, TX, CCN 451534
  • Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656
  • Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508
  • Avir at Center Nursing home, Center, TX, CCN 455550

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.