Individual provider Active NPI

Roger J Vitko, MD

  • Urology Physician
  • Edinburg, TX
National Provider Identifier
1588660690
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E1437 Issued in TX
Practice address
2603 Michael Angelo Dr
Edinburg, TX 78539-1417
Phone
(956) 362-8767
Fax
(956) 362-2548
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X E1437 TX Primary

Addresses

Primary practice location

2603 Michael Angelo Dr
Edinburg, TX 78539-1417

Mailing address

PO Box 3989
McAllen, TX 78502-3989
Phone (956) 362-8767

Other practice location 1

2603 Michael Angelo Dr
Edinburg, TX 78539-1417
Phone (956) 362-8767

Other identifiers 1

IdentifierTypeStateIssuer
131167207MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of South Texas PA Urology Current Accepting new patients

Locations

844 Central Blvd
Ste 430
Brownsville, TX 78520
Phone (956) 544-7833

2603 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 362-8767

2008 E Griffin Pkwy
Mission, TX 78572
Phone (956) 424-3438

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1588660690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3989",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023989",
            "telephone_number": "956-362-8767",
            "fax_number": "956-362-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 MICHAEL ANGELO DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391417",
            "telephone_number": "956-362-8767",
            "fax_number": "956-362-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2603 Michael Angelo Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391417",
            "country_code": "US",
            "telephone_number": "956-362-8767",
            "fax_number": "956-362-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITKO",
        "first_name": "ROGER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "E1437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131167207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.