Individual provider Active NPI

Vaughan Robert Cipperly, MD

  • Internal Medicine Physician
  • Mason City, IA
National Provider Identifier
1942235429
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48051 Issued in IA
Practice address
1000 4TH St SW
Mason City, IA 50401-2800
Phone
(641) 428-6300
Fax
(641) 428-6374
NPI assigned
Jul 12, 2006
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 38639 CO
Hematology & Oncology Physician 207RH0003X MD-20983 HI
Internal Medicine Physician 207R00000X 48051 IA Primary

Addresses

Primary practice location

1000 4TH St SW
Mason City, IA 50401-2800

Mailing address

1000 4TH St SW
Mason City, IA 50401-2800
Phone (641) 428-6300

Other practice location 1

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Other identifiers 1

IdentifierTypeStateIssuer
04382587MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WV, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240719001606 CO Practitioner - Hematology/Oncology 6608764493 Reassigns benefits to 1 organization
I20250407003574 WV Practitioner - Medical Oncology 6608764493 Reassigns benefits to 1 organization
I20250423003853 OR Practitioner - Hematology/Oncology 6608764493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19348OKMDPharmacist
48051IAMDInternal Medicine Physician
38639COMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Carris Health LLC Hematology & Oncology CurrentSince Sep 17, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 16, 2025 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jun 1, 2020 Accepting new patients
Bay Area Hospital District CurrentSince Apr 14, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Apr 14, 2025 Accepting new patients
West Virginia University Medical Corporation Internal Medicine Current Accepting new patients
Carris Health LLC CurrentSince Sep 17, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 16, 2025 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Sep 19, 2017 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jun 1, 2020 Accepting new patients
Platte Valley Medical Group LLC Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jul 15, 2024 Accepting new patients
Minnesota Pathologists Chartered Current Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
High Plains Oncology Associates PLLC Hematology & Oncology Past Accepting new patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients
Rocky Mountain Cancer Centers, LLP Hematology & Oncology Past Accepting new patients
High Plains Oncology,PLLC Hematology & Oncology PastSince Aug 6, 2003 Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

19333 W North Ave
Ste 309
Brookfield, WI 53045
Phone (262) 785-3010

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

2000 Foundation Way
Ste 2600
Martinsburg, WV 25401
Phone (304) 263-7023

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1942235429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-428-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-428-6300",
            "fax_number": "641-428-6374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "telephone_number": "808-244-9056",
            "fax_number": "808-442-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIPPERLY",
        "first_name": "VAUGHAN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "38639",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "HI",
            "license": "MD-20983",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "48051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04382587",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.