Individual provider Active NPI

Avanti Vigg, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1649417353
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C192209 Issued in CA
Practice address
7202 N Millbrook Ave Ste 105
Fresno, CA 93720-3341
Phone
(559) 450-4463
Fax
(559) 450-4462
NPI assigned
Jan 16, 2009
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.015029 OH
Internal Medicine Physician 207R00000X 63497 CT
Internal Medicine Physician 207R00000X 2012-00909 NC
Internal Medicine Physician 207R00000X C192209 CA Primary

Addresses

Primary practice location

7202 N Millbrook Ave Ste 105
Fresno, CA 93720-3341

Mailing address

1111 E Spruce Ave Ste 431
Fresno, CA 93720-3330
Phone (559) 450-7449

Other practice location 1

101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-2105

Other practice location 2

214 E Elm St
Graham, NC 27253-3022
Phone (336) 226-2448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 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
I20120927000204 NC Practitioner - Internal Medicine 8527226042 Reassigns benefits to 1 organization
I20240209002881 CA Practitioner - Internal Medicine 8527226042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

7202 N Millbrook Ave
Suite 105
Fresno, CA 93720-3341
Phone (559) 450-4463

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C192209CAMDInternal Medicine Physician
63497CTMDInternal Medicine Physician
2012-00909NCMDInternal Medicine Physician
57.015029OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Oct 15, 2012 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 15, 2012 Accepting new patients
Cornerstone Medical Center, PA Current Accepting new patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince Dec 6, 2023 Accepting new patients

Locations

1111 E Spruce Ave
#431
Fresno, CA 93720

1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

7202 N Millbrook Ave
Ste 105
Fresno, CA 93720
Phone (559) 450-4463

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

101 Clinic Dr
Tarboro, NC 27886
Phone (252) 823-2105

Organizations & group practices 5

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 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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1649417353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E SPRUCE AVE STE 431",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203330",
            "telephone_number": "559-450-7449",
            "fax_number": "559-450-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 N MILLBROOK AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203341",
            "telephone_number": "559-450-4463",
            "fax_number": "559-450-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278861935",
            "country_code": "US",
            "telephone_number": "252-823-2105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 E Elm St",
            "address_purpose": "LOCATION",
            "city": "Graham",
            "state": "NC",
            "postal_code": "272533022",
            "country_code": "US",
            "telephone_number": "336-226-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGG",
        "first_name": "AVANTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.015029",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "63497",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2012-00909",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C192209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.