Active NPI
Luis H Vigil, M.D.
- Internal Medicine Physician
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101238880
- Practice address
- 430 N Monte Vista St
Ada, OK 74820-4610 - Phone
- (580) 332-8846
- Fax
- (580) 421-1208
- NPI assigned
- Jul 22, 2006
- Last updated
- Jun 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101238880 | VA | Primary |
Addresses
Primary practice location
430 N Monte Vista St
Ada, OK 74820-4610
Mailing address
205 Benton Dr Apt 9111
Allen, TX 75013-1163
Phone (214) 205-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10416922 | Medicaid | VA | |
| 0101238880 | Other | VA | VIRGINIA MEDICAL LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101238880 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Internal Medicine | Current | Accepting new patients |
| Mercy Hospital Tishomingo, Inc. | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc | Current | Accepting new patients | |
| Mercy Hospital Ada, Inc | Past | Accepting new patients |
Locations
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
Internal Medicine
-
- Emergency Medicine Physician
- Tishomingo, OK
- NPI 1972809002
-
dba Mercy Hospital Tishomingo Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Tishomingo, OK
- NPI 1578868121
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holdenville General Hospital
- Critical Access Hospital
- Holdenville, OK
- NPI 1265851455
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1750302873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BENTON DR APT 9111",
"city": "ALLEN",
"state": "TX",
"postal_code": "750131163",
"telephone_number": "214-205-2223",
"fax_number": "214-324-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N MONTE VISTA ST",
"city": "ADA",
"state": "OK",
"postal_code": "748204610",
"telephone_number": "580-332-8846",
"fax_number": "580-421-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "LUIS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101238880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10416922",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA MEDICAL LIC",
"identifier": "0101238880",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.