Eduardo Miguel Vidal, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

30229 Issued in WV

Practice address

1400 Hal Greer Blvd FL 2
Huntington, WV 25701-4114

Phone

(304) 691-1930

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, WV, OH, GA, MD5 enrollments

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 5

Specialty

Dermatology

Education

University of Miami, LM Miller School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Dermatology Affiliates LLCGroup PAC ID 5799763975, 14 clinicians

Advanced Dermatology of North Central Ohio IncGroup PAC ID 7113058801, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vidale@marshall.cernerdirect.com

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.

• Advanced Dermatology of North Central Ohio Inc

  • Procedural Dermatology Physician
  • Mansfield, OH
  • NPI 1073528733
  Medicare reassignment Care Compare group NPD
• Dermatology Affiliates, LLC

  • Specialist
  • Atlanta, GA
  • NPI 1730244872
  Medicare reassignment Care Compare group NPD
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  MD, WV

  Medicare reassignment Care Compare group NPD
• K Wade Foster MD PA

  dba Florida Dermatology & Skin Cancer Centers

  • MOHS-Micrographic Surgery Physician
  • Winter Haven, FL
  • NPI 1205066404
  Medicare reassignment NPD
• Virginia Ann Schekorra PA

  • Dermatology Physician
  • Pinellas Park, FL
  • NPI 1003004862
  NPD
• Academic Dermatology,PC

  • Specialist
  • Edina, MN
  • NPI 1164662730
  NPD (past)
• Blodgett Dermatology Inc.

  • Dermatology Physician
  • Chillicothe, OH
  • NPI 1942400023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1356327951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAL GREER BLVD FL 2",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014114",
            "telephone_number": "304-691-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAL GREER BLVD FL 2",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014114",
            "telephone_number": "304-691-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 SE 5th Ter Ste 7",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344294876",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-364-9202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Highway 466",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321593918",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-775-4413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Walter Reed Army Medical Center",
            "address_2": "6900 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203070001",
            "country_code": "US",
            "telephone_number": "202-782-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "EDUARDO",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME83671",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WV",
            "license": "30229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vidale@marshall.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Marshall Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1600 Medical Center Dr Ste 3500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khristina Elizabeth Via, PHARMD
• Michael P Via, D.C.
• Laura Rozalee Viars, LPC
• Shannon Viars
• Jordan Vickers
• Aishwarya Vijay, MD, MBA
• Daniel Enrique Vilchez Argotte, M.D.
• Xavier Villa, M.D.
• Heather R Vincent
• Stacy Lynette Vines

• MOHS-Micrographic Surgery Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• MOHS-Micrographic Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.

Verify at the official NPI Registry.