Active NPI
Robert Alan Vigersky, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Bethesda, MD
National Provider Identifier
1851485452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD 11272
- Practice address
- 8901 Wisconsin Ave., Endocrinology SVC, America BLDG.
Walter Reed National Military Medical Center
Bethesda, MD 20889 - Phone
- (301) 295-5165
- Fax
- (301) 295-5170
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD 11272 | DC | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave., Endocrinology SVC, America BLDG.
Walter Reed National Military Medical Center
Bethesda, MD 20889
Mailing address
1816 Sudbury Rd., NW
Washington, DC 20012
Phone (202) 829-9086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140224001140 | MD | Order and Referring Only - Endocrinology | 3971733726 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 11272 | DC | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1851485452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 SUDBURY RD., NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-829-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE., ENDOCRINOLOGY SVC, AMERICA BLDG.",
"address_2": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20889",
"telephone_number": "301-295-5165",
"fax_number": "301-295-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGERSKY",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "DC",
"license": "MD 11272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.