Individual provider Active NPI

Rodolfo D Vaglienty, MD

  • Anesthesiology Physician
  • Southampton, NY
National Provider Identifier
1023036571
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
236608 Issued in NY
Practice address
265 Herrick Rd
Southampton, NY 11968-5045
Phone
(631) 726-8350
Fax
(631) 726-8519
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 236608 NY Primary

Addresses

Primary practice location

265 Herrick Rd
Southampton, NY 11968-5045

Mailing address

PO Box 7025
Amagansett, NY 11930-7025
Phone (888) 877-3385

Other identifiers 1

IdentifierTypeStateIssuer
02722741MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050829000298 NY Practitioner - Anesthesiology 7113958273 Reassigns benefits to 2 organizations
I20160520001806 TX Practitioner - Anesthesiology 7113958273 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acema Group, PAGroup PAC ID 6901955244, 10 clinicians

Practice addresses (Care Compare)

2302 Cornerstone Blvd
Edinburg, TX 78539-8471
Phone (956) 571-3435

Hospital & facility affiliations

  • Cornerstone Regional Hospital Hospital, Edinburg, TX, CCN 450825

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100Reported as group
Quality
61.32
Improvement activities
40
Cost
90.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
236608NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 2, 2024 Accepting new patients
St James Hospital CurrentSince Sep 12, 2008 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
Acema Group, PA Anesthesiology CurrentSince Feb 20, 2025 Accepting new patients
JJM Medical Services, PC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Val Verde Hospital Corporation CurrentSince Mar 14, 2016 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Apr 25, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Apr 25, 2022 Accepting new patients
Val Verde Hospital Corporation CurrentSince Mar 14, 2016 Accepting new patients
Advanced Office Anesthesiology Consultants PLLC Anesthesiology Past Accepting new patients
East End Anesthesiologists LLC Anesthesiology Past Accepting new patients

Locations

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

2302 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 571-3435

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1023036571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7025",
            "city": "AMAGANSETT",
            "state": "NY",
            "postal_code": "119307025",
            "telephone_number": "888-877-3385",
            "fax_number": "631-329-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 HERRICK RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685045",
            "telephone_number": "631-726-8350",
            "fax_number": "631-726-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGLIENTY",
        "first_name": "RODOLFO",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "236608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02722741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.