Luis Vega, M.D.
Individual provider Active NPI Family Medicine Physician · Colon, MI
NPI 1659398592 · NPPES record last updated Mar 18, 2008
Key facts
- NPI
- 1659398592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- LV080959 (MI)
- Practice address
- 121 Franklin St
Colon, MI 49040 - Phone
- (269) 432-3221
- Fax
- (269) 432-3120
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1240 N Thornton Ave
Dalton, GA 30720-3605
66 Annabelle LN
Newnan, GA 30263-4669
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031204000221 | MI | Practitioner - Family Practice | 9133024045 | Reassigns benefits to 1 organization |
| I20260331004089 | GA | Practitioner - Internal Medicine | 9133024045 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LV080959 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinique LLC | Family Medicine | Current |
Accepting new patients |
| Ascension Medical Group Promed | Family Medicine | Current |
Accepting new patients |
| Promed Healthcare | Current |
Accepting new patients | |
| Michigan Em-I Medical Services, P.C. | Past | Accepting new patients | |
| Southwestern Michigan Emergency Services, PC | Past | Accepting new patients | |
| Depot Emergency Physicians | Past | Accepting new patients |
Locations
1240 N Thornton Ave
Dalton, GA 30720
Phone (706) 229-9313
111 S Saint Joseph St
Colon, MI 49040
Phone (269) 432-3221
1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
1555 E Chicago Rd
Sturgis, MI 49091
Phone (269) 651-7114
916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824
1717 E Chicago Rd
Ste 3
Sturgis, MI 49091
Phone (269) 651-7114
600 S Lakeview Ave
Ste B04
Sturgis, MI 49091
Phone (269) 659-4317
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LV080959 | MI | Yes |
Addresses
Primary practice location
121 Franklin St
Colon, MI 49040
Mailing address
121 E Franklin St
Colon, MI 49040-9363
Phone (269) 432-3221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21611 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 4782700 | Medicaid | MI | |
| 01-31372 | Other | MI | PHYSICIANS HEALTH PLAN |
| 0807510341 | Other | MI | BLUE CROSS BLUE SHIELD |
| 155177 | Other | MI | GREAT LAKES HEALTH PLAN |
Other names
- Luis Vega-Torres
Other providers in Colon, MI
- Joseph G Smolarz
- Southwest Spine Center PLLC
- Lindsay Marie Stauffer
- Sturgis Hospital, Inc.
- Shannon Van Hare
- Isabel Solana Vigil
- Weathervane Counseling Services LLC
All providers in Colon, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.