Individual provider Active NPI

Donna S. Vegeais, M.D.

  • Internal Medicine Physician
  • Fort Sam Houston, TX
National Provider Identifier
1669440244
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47740 Issued in WI
Practice address
3851 Roger Brooke Dr
Brooke Army Medical Center McHe-QD/Credentials
Fort Sam Houston, TX 78234-4501
Phone
(210) 916-2460
Fax
(210) 916-5102
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47740 WI Primary

Addresses

Primary practice location

3851 Roger Brooke Dr
Brooke Army Medical Center McHe-QD/Credentials
Fort Sam Houston, TX 78234-4501

Mailing address

14500 Blanco Rd
Apt. #1411
San Antonio, TX 78216-7858
Phone (210) 540-0804

Other identifiers 1

IdentifierTypeStateIssuer
34630100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150123000185 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6800834847

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Inc Internal Medicine Past Accepting new patients

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1669440244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 BLANCO RD",
            "address_2": "APT. #1411",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167858",
            "telephone_number": "210-540-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "BROOKE ARMY MEDICAL CENTER MCHE-QD/CREDENTIALS",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-2460",
            "fax_number": "210-916-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGEAIS",
        "first_name": "DONNA",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "47740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34630100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.