NPIMap

Individual provider Active NPI

Vipul V Thakkar, M.D.

  • Radiation Oncology Physician
  • Rock Hill, SC
National Provider Identifier
1811908064
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
30229 Issued in SC
Practice address
228 S Herlong Ave
Rock Hill, SC 29732-1158
Phone
(803) 366-5186
Fax
(803) 366-5730
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35081789 OH
Radiation Oncology Physician 2085R0001X 200701182 NC
Radiation Oncology Physician 2085R0001X 30229 SC Primary

Addresses

Primary practice location

228 S Herlong Ave
Rock Hill, SC 29732-1158

Mailing address

200 Queens Rd
Suite 400
Charlotte, NC 28204-3253
Phone (704) 333-7376

Other identifiers 6

IdentifierTypeStateIssuer
199820OtherNCMEDCOST
811304OtherNCPARTNERS
3591870OtherNCCIGNA
N01182MedicaidSC
1460EOtherNCBLUE CROSS
5907146MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070809000727 NC Practitioner - Radiation Oncology 9739184110 Reassigns benefits to 2 organizations
I20071214000704 SC Practitioner - Radiation Oncology 9739184110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Radiation Oncology Group, P.a. 52 clinicians

Practice addresses (Care Compare)

200 Queens Rd
Charlotte, NC 28204-3264
Phone (704) 333-7376

301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 333-7376

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 333-7376

Hospital & facility affiliations

  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Atrium Health Anson Hospital, Wadesboro, NC, CCN 340084
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01182NCMDPediatric Cardiology Physician
35081789OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 1, 2012 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Oct 1, 2007 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Oct 1, 2007 Accepting new patients
Southeast Radiation Oncology Group, P.a. Radiation Oncology CurrentSince Oct 1, 2007 Accepting new patients
Pineville Radiation Therapy Center, LLC Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

125 Queens Rd
Ste 150
Charlotte, NC 28204
Phone (980) 302-6144

1021 Morehead Medical Dr
Charlotte, NC 28204
Phone (704) 355-2272

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

420 N Center St
Hickory, NC 28601
Phone (704) 660-4055

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

10030 Gilead Rd
Ste B120
Huntersville, NC 28078
Phone (704) 316-6630

440 McAlister Rd
Lincolnton, NC 28092
Phone (704) 834-3544

1400 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 845-8800

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

170 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 235-2580

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

1005 W Meeting St
Lancaster, SC 29720
Phone (803) 283-6200

228 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 366-5186

Interoperability endpoints

  • Direct secure messaging: vthakkar499918@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1811908064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043253",
            "telephone_number": "704-333-7376",
            "fax_number": "704-333-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321158",
            "telephone_number": "803-366-5186",
            "fax_number": "803-366-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "VIPUL",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35081789",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "200701182",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "30229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "199820",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "811304",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3591870",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01182",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1460E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907146",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.