Active NPI
Donato Anthony Viggiano, M.D.
- Specialist
- Port St Lucie, FL
National Provider Identifier
1194713370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME40250
- Practice address
- 1901 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5582 - Phone
- (772) 335-3954
- NPI assigned
- Oct 11, 2005
- Last updated
- May 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME40250 | FL | Primary |
Addresses
Primary practice location
1901 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5582
Mailing address
1901 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5582
Phone (772) 335-7477
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43082 | Other | FL | BCBS OF FLORIDA |
| 650799434 | Other | FL | CHAMPUS |
| 067096100 | Medicaid | FL | |
| 240007672 | Other | FL | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dviggiano@directaddress.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1901 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5582
Phone (772) 335-7477
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 93 |
| Removal of skin lesions | 13 |
| Removal or shaving of skin growth | 178 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME40250 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donato a Viggiano MD PA | Specialist | Current | Accepting new patients |
| Treasure Coast Cosmetic Surgery Center | Past | Accepting new patients |
Locations
1901 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-3954
Interoperability endpoints
- dviggiano@directaddress.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.
-
- Specialist
- Port St Lucie, FL
- NPI 1437382421
-
- Ambulatory Surgical Clinic/Center
- Port St Lucie, FL
- NPI 1952327538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1194713370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525582",
"telephone_number": "772-335-7477",
"fax_number": "772-335-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525582",
"telephone_number": "772-335-3954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGGIANO",
"first_name": "DONATO",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME40250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "43082",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "650799434",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067096100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "240007672",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dviggiano@directaddress.net",
"affiliation": "N",
"endpointDescription": "Direct message",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "1901 SE Port St Lucie Blvd",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349525582",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.