Individual provider Active NPI

Federico Viganego, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Philadelphia, PA
National Provider Identifier
1508010349
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD468505 Issued in PA
Practice address
2630 Holme Ave Ste 200
Philadelphia, PA 19152-3004
Phone
(215) 332-3972
NPI assigned
Nov 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D81787 MD
Cardiovascular Disease Physician 207RC0000X C1-0009861 DE
Cardiovascular Disease Physician 207RC0000X 201375 LA
Clinical Cardiac Electrophysiology Physician 207RC0001X D81787 MD
Clinical Cardiac Electrophysiology Physician 207RC0001X MD468505 PA Primary

Addresses

Primary practice location

2630 Holme Ave Ste 200
Philadelphia, PA 19152-3004

Mailing address

41 University Dr Ste 106
Newtown, PA 18940-1873

Other practice location 1

8118 Good Luck Rd Ste 305
Lanham, MD 20706-3574
Phone (301) 552-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190918003167 PA Practitioner - Cardiovascular Disease (Cardiology) 4385810191
I20231009000198 MD Practitioner - Cardiovascular Disease (Cardiology) 4385810191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Practice addresses (Care Compare)

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

9105 Franklin Square Dr
Suite 209
Baltimore, MD 21237-3958
Phone (410) 554-6550

Hospital & facility affiliations

  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201375LAMDCardiovascular Disease Physician
D81787MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Heart Institute LLC Cardiovascular Disease CurrentSince Mar 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 15, 2023 Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9105 Franklin Square Dr
Ste 209
Rosedale, MD 21237
Phone (410) 574-1330

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

Organizations & group practices 4

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 2

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": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1508010349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 106",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 HOLME AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523004",
            "telephone_number": "215-332-3972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8118 Good Luck Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063574",
            "country_code": "US",
            "telephone_number": "301-552-1200",
            "fax_number": "301-552-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGANEGO",
        "first_name": "FEDERICO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D81787",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1-0009861",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "201375",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MD",
            "license": "D81787",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD468505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.