Individual provider Active NPI

Anthony Vigliotti, M.D.

  • Family Medicine Physician
  • Chittenango, NY
National Provider Identifier
1033288113
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205014 Issued in NY
Practice address
1372 State Route 5
Chittenango Healthcare Center
Chittenango, NY 13037-8763
Phone
(315) 687-5100
Fax
(315) 687-0252
NPI assigned
Nov 6, 2006
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 205014 NY Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 205014 NY

Addresses

Primary practice location

1372 State Route 5
Chittenango Healthcare Center
Chittenango, NY 13037-8763

Mailing address

1372 State Route 5
Chittenango Healthcare Center
Chittenango, NY 13037-8763
Phone (315) 687-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000013 NY Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Other (Physician) 9931384898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
St. Joseph's Pathology, PC Current Accepting new patients
Crouse Health Hospital Inc CurrentSince Jul 1, 2020 Accepting new patients
St Josephs Medical PC Family Medicine CurrentSince Oct 20, 2018 Accepting new patients
North Medical PC Family Medicine Current Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Organizations & group practices 6

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.

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1033288113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 STATE ROUTE 5",
            "address_2": "CHITTENANGO HEALTHCARE CENTER",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130378763",
            "telephone_number": "315-687-5100",
            "fax_number": "315-687-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 STATE ROUTE 5",
            "address_2": "CHITTENANGO HEALTHCARE CENTER",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130378763",
            "telephone_number": "315-687-5100",
            "fax_number": "315-687-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGLIOTTI",
        "first_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205014",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "205014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chittenango, NY

Sources for this page

Verify at the official NPI Registry.