NPIMap

Individual provider Active NPI

Sergio R Vega, M.D.

  • Nephrology Physician
  • West Palm Beach, FL
National Provider Identifier
1336146679
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME74502 Issued in FL
Practice address
1500 N Dixie Hwy
Suite 206
West Palm Beach, FL 33401-2712
Phone
(561) 655-1889
Fax
(561) 655-2868
NPI assigned
Jul 1, 2005
Last updated
Aug 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME74502 FL Primary

Addresses

Primary practice location

1500 N Dixie Hwy
Suite 206
West Palm Beach, FL 33401-2712

Mailing address

1500 N Dixie Hwy
Suite 206
West Palm Beach, FL 33401-2712
Phone (561) 655-1889

Other identifiers 1

IdentifierTypeStateIssuer
254048700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101022000741 FL Practitioner - NephrologyPractitioner - Internal Medicine 5294767257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Yale University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 N Dixie Hwy
Suite 206
West Palm Beach, FL 33401-2716
Phone (561) 655-1889

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
81.61
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medneph, PA CurrentSince Oct 18, 1999 Accepting new patients
West Palm Dialysis, LLC PastSince Apr 6, 2000 Accepting new patients

Locations

1500 N Dixie Hwy
Ste 206
West Palm Beach, FL 33401
Phone (561) 366-9773

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBGAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBGAAA/Endpoint/BBGAAA

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 7

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1336146679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY",
            "address_2": "SUITE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012712",
            "telephone_number": "561-655-1889",
            "fax_number": "561-655-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY",
            "address_2": "SUITE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012712",
            "telephone_number": "561-655-1889",
            "fax_number": "561-655-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "SERGIO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME74502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254048700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.