NPIMap

Individual provider Active NPI

Robert J Vigderman, M.D.

  • Internal Medicine Physician
  • Amherst, MA
National Provider Identifier
1831119478
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
242581 Issued in MA
Practice address
31 Hall Dr
Amherst Medical Center
Amherst, MA 01002-2751
Phone
(413) 256-8561
Fax
(413) 256-4421
NPI assigned
Jul 19, 2006
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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 242581 MA Primary

Addresses

Primary practice location

31 Hall Dr
Amherst Medical Center
Amherst, MA 01002-2751

Mailing address

PO Box 8019
Springfield, MA 01102-8000
Phone (866) 431-4077

Other identifiers 4

IdentifierTypeStateIssuer
110085491AMedicaidMA
49147OtherMAHEALTH NEW ENGLAND
4310651015OtherMACIGNA HEALTHCARE
AA179715OtherMAHARVARD PILGRIM HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000744 MA Practitioner - Internal Medicine 9032008297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Medical Group PCGroup PAC ID 2365348851, 106 clinicians

Practice addresses (Care Compare)

70 Main St
Florence, MA 01062-1466
Phone (413) 586-8400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242581MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. Internal Medicine CurrentSince Jun 1, 2010 Accepting new patients
Valley Medical Group, P.C. Internal Medicine CurrentSince Jun 1, 2010 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients
Valley Medical Group, P.C. Past Accepting new patients
Main Line Medical Group LTD Past Accepting new patients

Locations

31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

Interoperability endpoints

  • Direct secure messaging: robert.vigderman.1@55.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1831119478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8019",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011028000",
            "telephone_number": "866-431-4077",
            "fax_number": "413-774-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HALL DR",
            "address_2": "AMHERST MEDICAL CENTER",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022751",
            "telephone_number": "413-256-8561",
            "fax_number": "413-256-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGDERMAN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "242581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085491A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "49147",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "4310651015",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "AA179715",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.