Individual provider Active NPI

Neil J Nigro, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Morrisville, VT
National Provider Identifier
1811918600
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
042-0010216 Issued in VT
Practice address
528 Washington Highway
Morrisville, VT 05661-8973
Phone
(802) 888-8368
Fax
(802) 888-8203
NPI assigned
Jul 21, 2006
Last updated
Oct 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 042-0010216 VT Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 203869 MA

Addresses

Primary practice location

528 Washington Highway
Morrisville, VT 05661-8973

Mailing address

528 Washington Highway
Morrisville, VT 05661-8973
Phone (802) 888-8368

Other identifiers 1

IdentifierTypeStateIssuer
1008218MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20040811001428 VT Practitioner - Emergency Medicine 0042282774 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203869MAMDEmergency Medical Services (Emergency Medicine) Physician
042-0010216VTMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital Inc Current Accepting new patients
Copley Hospital, Inc. CurrentSince Aug 22, 2010 Accepting new patients
Copley Hospital, Inc CurrentSince Aug 22, 2010 Accepting new patients

Locations

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

528 Washington Hwy
Ofc
Morrisville, VT 05661

189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1811918600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 WASHINGTON HIGHWAY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618973",
            "telephone_number": "802-888-8368",
            "fax_number": "802-888-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WASHINGTON HIGHWAY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618973",
            "telephone_number": "802-888-8368",
            "fax_number": "802-888-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGRO",
        "first_name": "NEIL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VT",
            "license": "042-0010216",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MA",
            "license": "203869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008218",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.