Individual provider Active NPI

Francine Lea Vagotis, MD

  • Specialist
  • Grand Rapids, MI
National Provider Identifier
1114103314
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301052683 Issued in MI
Practice address
4940 Cascade Rd SE Ste 130
Grand Rapids, MI 49546-3708
Phone
(616) 285-6400
Fax
(616) 285-0417
NPI assigned
Jan 17, 2008
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301052683 MI Primary
Plastic Surgery Physician 208200000X 036122075 IL

Addresses

Primary practice location

4940 Cascade Rd SE Ste 130
Grand Rapids, MI 49546-3708

Mailing address

4940 Cascade Rd SE Ste 130
Grand Rapids, MI 49546-3708
Phone (616) 285-6400

Other names 1

  • Dr. Francine Lea Vagotis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250801001417 MI Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 3072021005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301052683MIMDSpecialist
036122075ILMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Celebrity Anesthesia Staffing LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1114103314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 CASCADE RD SE STE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463708",
            "telephone_number": "616-285-6400",
            "fax_number": "616-285-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 CASCADE RD SE STE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463708",
            "telephone_number": "616-285-6400",
            "fax_number": "616-285-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGOTIS",
        "first_name": "FRANCINE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301052683",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036122075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCINE",
            "last_name": "VAGOTIS",
            "middle_name": "LEA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.