VIPUL DHARAMSHI KHANPARA MD
NPI 1174728372
Emergency Medicine in Port Huron, MI

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1221 PINE GROVE AVE, PORT HURON, MI 48060(810) 989-3300(810) 985-2671 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2019, Mar 16, 2016 (2 updates tracked since 2016).

About Vipul Dharamshi Khanpara Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIPUL DHARAMSHI KHANPARA MD (NPI 1174728372) is an individual emergency medicine provider in Port Huron, Michigan, licensed in Michigan (4301116733) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and maintains a secondary practice location in Fond Du Lac.

NPPES Registry Identity

NPI1174728372
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameVIPUL DHARAMSHI KHANPARACredential: MD
Location Address1221 PINE GROVE AVEPort Huron, MI 48060-3511
Mailing Address1221 Pine Grove AvePort Huron, MI 48060-3511 · (810) 989-3300 · Fax (810) 985-2671
Fax(810) 985-2671
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2006
Enumeration DateJune 18, 2007
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
✔ NPI 1174728372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MI · 4301116733✔ Licensed in WI · 50209
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1221 PINE GROVE AVE, Port Huron, MI 48060

Secondary Practice Location 1

Location 1430 E Division StFond Du Lac, WI 54935-4560 · Phone (920) 929-2300

Other Identifiers 2

OtherP00414061WI · Medicare Railroad
Medicaid34791600WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vipul Dharamshi Khanpara Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133229529
PECOS Enrollment IDI20190909003221
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Vipul Khanpara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
1221 PINE GROVE AVE
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
29 services28 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
Registered Nurse
1221 PINE GROVE AVE
PORT HURON, MI 48060
Clinic/Center (Magnetic Resonance Imaging (MRI))
1221 PINE GROVE AVE
PORT HURON, MI 48060
Nurse Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
Obstetrics & Gynecology
1221 PINE GROVE AVE
PORT HURON, MI 48060
Nurse Anesthetist, Certified Registered
1221 PINE GROVE AVE
PORT HURON, MI 48060
Emergency Medicine
1221 PINE GROVE AVE, PORT HURON HOSPITAL EMERGENCY DEPT
PORT HURON, MI 48060
Physical Therapist
1221 PINE GROVE AVE
PORT HURON, MI 48060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vipul Khanpara's NPI number?

The NPI number for Vipul Khanpara is 1174728372. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Vipul Khanpara located?

Vipul Khanpara practices at 1221 Pine Grove Ave, Port Huron, MI 48060. The listed phone number is (810) 989-3300.

What is Vipul Khanpara's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Vipul Khanpara enrolled in Medicare?

Yes. Vipul Khanpara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Vipul Khanpara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vipul Khanpara reassigns Medicare benefits to Huron Emergency Medicine Specialists, PLLC (Port Huron, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vipul Khanpara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vipul Khanpara accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Vipul Khanpara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vipul Khanpara affiliated with any hospitals?

According to CMS data, Vipul Khanpara is affiliated with Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Vipul Khanpara was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.