Individual provider Active NPI

Neil Veggeberg, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Amarillo, TX
National Provider Identifier
1356390496
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G8478 Issued in TX
Practice address
5111 Canyon Dr
Amarillo, TX 79110-3037
Phone
(806) 353-7018
Fax
(806) 353-7044
NPI assigned
May 8, 2006
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G8478 TX Primary

Addresses

Primary practice location

5111 Canyon Dr
Amarillo, TX 79110-3037

Mailing address

7219 Versailles Dr
Amarillo, TX 79121-1813
Phone (806) 353-7018

Other identifiers 1

IdentifierTypeStateIssuer
089704301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100909000494 TX Practitioner - Physical Medicine and Rehabilitation 6204951676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Baylor College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5111 Canyon Dr
Amarillo, TX 79110-3037
Phone (806) 212-7018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.53 of 100Reported as group
Quality
46.47
Improvement activities
40
Cost
76.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8478TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Hospital LLC Past Accepting new patients

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 5

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1356390496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 VERSAILLES DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211813",
            "telephone_number": "806-353-7018",
            "fax_number": "806-353-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 CANYON DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791103037",
            "telephone_number": "806-353-7018",
            "fax_number": "806-353-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGGEBERG",
        "first_name": "NEIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "G8478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089704301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.