Individual provider Active NPI

Agnes Virga, M. D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Acton, MA
National Provider Identifier
1184614414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
80633 Issued in MA
Practice address
411 Mass Ave
Acton, MA 01720-3739
Phone
(978) 263-2898
Fax
(978) 263-3305
NPI assigned
Oct 27, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 80633 MA Primary

Addresses

Primary practice location

411 Mass Ave
Acton, MA 01720-3739

Mailing address

411 Mass Ave
Acton, MA 01720-3739
Phone (978) 263-2898

Other identifiers 1

IdentifierTypeStateIssuer
3155706MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20100329000643 MA Practitioner - Neurology 6709912850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

Practice addresses (Care Compare)

131 Old Rd to 9 Acre Cor
Concord, MA 01742
Phone (978) 287-3835

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80633MAMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Practice Associates II, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Jan 1, 2021 Accepting new patients

Locations

411 Massachusetts Ave
Ste 205
Acton, MA 01720
Phone (978) 263-2898

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

Interoperability endpoints

  • Direct secure messaging: virga.agnes.epa@direct.partners.masshiway.net

Organizations & group practices 2

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184614414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASS AVE",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-2898",
            "fax_number": "978-263-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MASS AVE",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-2898",
            "fax_number": "978-263-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGA",
        "first_name": "AGNES",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MA",
            "license": "80633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3155706",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.