Individual provider Active NPI

Daniel Robert Vig, MD

  • Surgery Physician
  • Raleigh, NC
National Provider Identifier
1194729020
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9901069 Issued in NC
Practice address
2800 Blue Ridge Rd
Ste 503
Raleigh, NC 27607-6477
Phone
(919) 782-8210
Fax
(919) 781-4650
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9901069 NC Primary

Addresses

Primary practice location

2800 Blue Ridge Rd
Ste 503
Raleigh, NC 27607-6477

Mailing address

2800 Blue Ridge Rd
Ste 503
Raleigh, NC 27607-6477
Phone (919) 782-8210

Other identifiers 2

IdentifierTypeStateIssuer
125GOtherNCBCBS
89125GMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071012000294 NC Practitioner - General Surgery 9032205661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Wisconsin School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2800 Blue Ridge Rd
Suite 300
Raleigh, NC 27607-6476
Phone (919) 784-7874

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)24
Upper gastrointestinal (GI) endoscopy for acid reflux21
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9901069NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients
Rex Hospital Inc Past Accepting new patients
Carolina Vascular Surgery and PastSince Dec 30, 2002 Accepting new patients
Wound Care Physicians PA Past Accepting new patients
Rex Physicians LLC Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

11200 Governor Manly Way
Ste 208
Raleigh, NC 27614

10208 Cerny St
Ste 106
Raleigh, NC 27617
Phone (984) 215-4540

2800 Blue Ridge Rd
Ste 300
Raleigh, NC 27607
Phone (919) 784-8346

Interoperability endpoints

  • Direct secure messaging: dvig7004@direct.unc.nchie.net

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 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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1194729020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BLUE RIDGE RD",
            "address_2": "STE 503",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076477",
            "telephone_number": "919-782-8210",
            "fax_number": "919-781-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BLUE RIDGE RD",
            "address_2": "STE 503",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076477",
            "telephone_number": "919-782-8210",
            "fax_number": "919-781-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIG",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9901069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "125G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89125G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.