Active NPI
Vito La Fata, M.D.
- Diagnostic Radiology Physician
- Springfield, MO
National Provider Identifier
1902866577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2005020345
- Practice address
- 3801 S National Ave
Springfield, MO 65807-5210 - Phone
- (417) 269-4056
- Fax
- (417) 269-5556
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2005020345 | MO | Primary |
Addresses
Primary practice location
3801 S National Ave
Springfield, MO 65807-5210
Mailing address
1550 E Republic Rd
Springfield, MO 65804-6530
Phone (417) 889-6102
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1256 | Other | MO | BLUE |
| P00261688 | Other | MO | RRR MEDICARE |
| 160773001 | Medicaid | AR | |
| 207239005 | Medicaid | MO |
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
Interoperability endpoints
- vito.lafata@cernerdirect.coxhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1902866577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 E REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046530",
"telephone_number": "417-889-6102",
"fax_number": "417-889-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-269-4056",
"fax_number": "417-269-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA FATA",
"first_name": "VITO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2005020345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE",
"identifier": "1256",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRR MEDICARE",
"identifier": "P00261688",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160773001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207239005",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.