NPIMap

Individual provider Active NPI

Isabel C Vigil, M.D.

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1407886302
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
85-302 Issued in NM
Practice address
156 Wyatt Dr Ste 1
Las Cruces, NM 88005-2996
Phone
(505) 522-1628
Fax
(505) 522-1636
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 85-302 NM Primary

Addresses

Primary practice location

156 Wyatt Dr Ste 1
Las Cruces, NM 88005-2996

Mailing address

156 Wyatt Dr Ste 1
Las Cruces, NM 88005-2996
Phone (505) 522-1628

Other identifiers 1

IdentifierTypeStateIssuer
38083MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address isabel.vigil.1@1928.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040212000827 NM Practitioner - Family PracticePractitioner - General Practice 5890689442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Mexico Primary Care Group PCGroup PAC ID 8123177391, 6 clinicians

Practice addresses (Care Compare)

2405 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 532-1001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.11 of 100Reported as group
Quality
84.71
Improvement activities
40
Cost
80.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Primary Care Group P.C. CurrentSince Jul 15, 2023 Accepting new patients
Familycare Associates,PA Family Medicine Past Accepting new patients
Associated Cardiology Consultants of New Mexico PastSince Jul 15, 2023 Accepting new patients

Locations

179 Howard Pl
Ste 1
Las Cruces, NM 88011
Phone (575) 521-8500

2405 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-5353

Interoperability endpoints

  • Direct secure messaging: isabel.vigil.1@29838.direct.athenahealth.com
  • Direct secure messaging: isabel.vigil.1@1928.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1407886302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WYATT DR STE 1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052996",
            "telephone_number": "505-522-1628",
            "fax_number": "505-522-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WYATT DR STE 1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052996",
            "telephone_number": "505-522-1628",
            "fax_number": "505-522-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "ISABEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "85-302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38083",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isabel.vigil.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "156 Wyatt Dr Ste 1",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880052996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.