Individual provider Active NPI

Derek A Vigil, MD

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1962453738
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME79192 Issued in FL
Practice address
5350 Atlantic Ave Ste 100
Delray Beach, FL 33484-8112
Phone
(561) 496-5677
Fax
(561) 496-5824
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME79192 FL Primary

Addresses

Primary practice location

5350 Atlantic Ave Ste 100
Delray Beach, FL 33484-8112

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

6333 N Federal Hwy Ste 301-302
Ft Lauderdale, FL 33308-1907
Phone (954) 772-2411

Other identifiers 1

IdentifierTypeStateIssuer
263521600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address derek.vigil@conviva.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050413000033 FL Practitioner - Family PracticePractitioner - Internal Medicine 5597702431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9910 Sandalfoot Blvd
Suite 1
Boca Raton, FL 33428-6692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79192FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Medical Associates, Inc. Family Medicine Past Accepting new patients
Primary Care Medical Associates Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: derek.vigil@conviva.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1962453738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 ATLANTIC AVE STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848112",
            "telephone_number": "561-496-5677",
            "fax_number": "561-496-5824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6333 N Federal Hwy Ste 301-302",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333081907",
            "country_code": "US",
            "telephone_number": "954-772-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "DEREK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263521600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derek.vigil@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5350 Atlantic Ave Ste 100",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334848112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.