NPIMap

Individual provider Active NPI

Milagros Mercedes Vidot, M.D.

  • Family Medicine Physician
  • Bluefield, WV
National Provider Identifier
1295798098
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101240661 Issued in VA
Practice address
500 Cherry St
Attn: Hospitalists Office
Bluefield, WV 24701-3306
Phone
(304) 327-1145
Fax
(304) 327-1139
NPI assigned
Apr 11, 2006
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20921 WV
Family Medicine Physician 207Q00000X 0101240661 VA Primary

Addresses

Primary practice location

500 Cherry St
Attn: Hospitalists Office
Bluefield, WV 24701-3306

Mailing address

500 Cherry St
Attn: Hospitalists Office
Bluefield, WV 24701-3306
Phone (304) 327-1145

Other practice location 1

3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111

Other identifiers 2

IdentifierTypeStateIssuer
1808426000MedicaidWV
001722256OtherWVBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616001110 WV Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 6103800172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Medical College of Pennsylvania, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians

Practice addresses (Care Compare)

454 McDowell St
Welch, WV 24801-2029
Phone (304) 436-8685

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101240661VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Inpatient Consulting LLC Past Accepting new patients
Kelly Medical Services Corporation LLC Emergency Medicine Past Accepting new patients
Bluefield Emergency Physicians Inc Emergency Medicine Past Accepting new patients
State of West Virginia Welch Community Hospital Past Accepting new patients
Bluefield Regional Medical Center Inc Past Accepting new patients
St. Luke's Princeton LLC Past Accepting new patients
East River Medical, PLLC Family Medicine Past Accepting new patients
Bluefield Emergency Group, LLC Emergency Medicine Past Accepting new patients
Bluefield Regional Medical Center Past Accepting new patients
Chestnut Hill Emergency Associates LTD Emergency Medicine Past Accepting new patients
Bluefield Hospitalists Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mvidot@yourcarecommunity.org

Organizations & group practices 12

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1295798098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHERRY ST",
            "address_2": "ATTN: HOSPITALISTS OFFICE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013306",
            "telephone_number": "304-327-1145",
            "fax_number": "304-327-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHERRY ST",
            "address_2": "ATTN: HOSPITALISTS OFFICE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013306",
            "telephone_number": "304-327-1145",
            "fax_number": "304-327-1139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 S Main St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607017",
            "country_code": "US",
            "telephone_number": "540-951-1111",
            "fax_number": "540-953-5295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDOT",
        "first_name": "MILAGROS",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "20921",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1808426000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001722256",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

Verify at the official NPI Registry.