Individual provider Active NPI

Christopher P Vaglia, MD

  • Pediatrics Physician
  • Blairsville, PA
National Provider Identifier
1831185289
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD073345L Issued in PA
Practice address
25 Colony Blvd
Ste 108
Blairsville, PA 15717-1357
Phone
(724) 459-6063
Fax
(724) 459-6022
NPI assigned
Sep 21, 2005
Last updated
Dec 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD073345L PA Primary

Addresses

Primary practice location

25 Colony Blvd
Ste 108
Blairsville, PA 15717-1357

Mailing address

15 S 8TH St
Suite 200
Indiana, PA 15701-2776
Phone (724) 463-0476

Other identifiers 2

IdentifierTypeStateIssuer
101107640001MedicaidPA
848902OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD073345LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Indiana Regional Medical Center Past Accepting new patients
Indiana Pediatric Associates, PC Pediatrics Past Accepting new patients
Indiana Pediatric Associates, P C a Past Accepting new patients
Indiana Pediatric Associates, P C a Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cvaglia@indianapediatrics.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1831185289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S 8TH ST",
            "address_2": "SUITE 200",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012776",
            "telephone_number": "724-463-0476",
            "fax_number": "724-463-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLONY BLVD",
            "address_2": "STE 108",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171357",
            "telephone_number": "724-459-6063",
            "fax_number": "724-459-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGLIA",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD073345L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101107640001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "848902",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.