Prakash K Vin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD037361L Issued in PA

Practice address

118 W 4TH Ave
Derry, PA 15627-1252

Phone

(724) 694-2765

Fax

(724) 694-2870

NPI assigned

Sep 26, 2005

Last updated

Oct 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Prakash K Vin MD PC

  • Internal Medicine Physician
  • Derry, PA
  • NPI 1871660837
  Authorized official Same address or phone
• Upmc Community Medicine Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1588622294
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1902892813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "address_2": "118 W FOURTH AVE",
            "city": "DERRY",
            "state": "PA",
            "postal_code": "156270215",
            "telephone_number": "724-694-2765",
            "fax_number": "724-694-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W 4TH AVE",
            "city": "DERRY",
            "state": "PA",
            "postal_code": "156271252",
            "telephone_number": "724-694-2765",
            "fax_number": "724-694-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIN",
        "first_name": "PRAKASH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037361L",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD037361L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000626144",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "060480",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1016662",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AM HEALTHASSUR",
            "identifier": "11440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "77498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC FOR YOU",
            "identifier": "112076401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PRODUCTS",
            "identifier": "154859",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Perkins, PHARMD
• Prakash K Vin MD PC
• Karen P Ridilla, RPH
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01628)
• Samantha Thompson, MA, NCC, LPC
• Westmoreland Arc Proserv
• Ronald Anderson Zsembik, D.M.D.

• Internal Medicine Physician in Derry, PA
• Providers in Derry, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.