Individual provider Active NPI

Vigelo Angka Servera Jr., DO

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1699477281
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
W5553 Issued in TX
Practice address
251 W Medical Center Blvd Ste 300
Webster, TX 77598-4246
Phone
(281) 486-7900
Fax
(281) 461-6833
NPI assigned
Mar 20, 2023
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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 W5553 TX Primary

Addresses

Primary practice location

251 W Medical Center Blvd Ste 300
Webster, TX 77598-4246

Mailing address

251 W Medical Center Blvd Ste 300
Webster, TX 77598-4246
Phone (281) 486-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230627003505 GA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9931567658

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Alabama College of Osteopathic Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W5553TXMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: vigelo.servera@hca4.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1699477281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W MEDICAL CENTER BLVD STE 300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984246",
            "telephone_number": "281-486-7900",
            "fax_number": "281-461-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W MEDICAL CENTER BLVD STE 300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984246",
            "telephone_number": "281-486-7900",
            "fax_number": "281-461-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVERA",
        "first_name": "VIGELO",
        "middle_name": "ANGKA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W5553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.