Individual provider Active NPI

Stephen J Vega, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Pittsford, NY
National Provider Identifier
1649200221
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
225631 Issued in NY
Practice address
1050 Pittsford Vicotr Rd, BLDG B
Pittsford, NY 14534
Phone
(585) 383-4040
Fax
(585) 383-4051
NPI assigned
Jul 3, 2006
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 225631 NY
Plastic and Reconstructive Surgery Physician 2086S0122X 225631 NY Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 225631 NY

Addresses

Primary practice location

1050 Pittsford Vicotr Rd, BLDG B
Pittsford, NY 14534

Mailing address

1050 Pittsford Vicotr Rd, BLDG B
Pittsford, NY 14534
Phone (585) 383-4040

Other identifiers 1

IdentifierTypeStateIssuer
02560878MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040817000769 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 8224001334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Maxillofacial Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen J Vega MD PLLCGroup PAC ID 3577733708, 5 clinicians

Practice addresses (Care Compare)

1050 Pittsford Victor Rd
Pittsford, NY 14534-3812
Phone (585) 383-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy35
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225631NYMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital PastSince Jul 18, 2011 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 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1649200221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 PITTSFORD VICOTR RD, BLDG B",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-383-4040",
            "fax_number": "585-383-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 PITTSFORD VICOTR RD, BLDG B",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-383-4040",
            "fax_number": "585-383-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NY",
            "license": "225631",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "225631",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "225631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02560878",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.