Individual provider Active NPI

Vani Nagala, M.D.

  • Internal Medicine Physician
  • Oakes, ND
National Provider Identifier
1851380125
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4771 Issued in ND
Practice address
420 S 7TH St
Oakes, ND 58474-2024
Phone
(701) 742-3267
Fax
(701) 742-3201
NPI assigned
Oct 19, 2005
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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 4771 ND Primary

Addresses

Primary practice location

420 S 7TH St
Oakes, ND 58474-2024

Mailing address

420 S 7TH St
PO Box 50
Oakes, ND 58474-2024
Phone (701) 742-3267

Other identifiers 10

IdentifierTypeStateIssuer
18149OtherNDBLUE SHIELD
25946OtherNDBLUE SHIELD
14627MedicaidND
18147OtherNDBLUE SHIELD
18148OtherNDBLUE SHIELD
CF8850OtherNDRAILROAD MEDICARE
110189980OtherNDRAILROAD MEDICARE
18144OtherNDBLUE SHIELD
18145OtherNDBLUE SHIELD
18146OtherNDBLUE SHIELD

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
4771NDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Past Accepting new patients
Southeast Medical Center PC Past Accepting new patients
Sanford Clinic North Past Accepting new patients
Regional Clinic LTD PastSince Feb 23, 2005 Accepting new patients
Sanford Clinic North Past Accepting new patients

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1851380125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S 7TH ST",
            "address_2": "PO BOX 50",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584742024",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S 7TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584742024",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGALA",
        "first_name": "VANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "4771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18149",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "25946",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14627",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18147",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18148",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8850",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110189980",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18144",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18145",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18146",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakes, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.