Individual provider Active NPI

Victor V. Vigil, M.D.

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1972566404
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
89-344 Issued in NM
Practice address
4610 Jefferson LN NE
Albuquerque, NM 87109-2117
Phone
(505) 559-4495
Fax
(505) 842-8025
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 89-344 NM Primary

Addresses

Primary practice location

4610 Jefferson LN NE
Albuquerque, NM 87109-2117

Mailing address

4610 Jefferson LN NE
Albuquerque, NM 87109-2117
Phone (505) 559-4495

Other identifiers 1

IdentifierTypeStateIssuer
5547MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20110311000114 NM Practitioner - Hematology/Oncology 6002716115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of New Mexico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Cancer and Surgical Care, PCGroup PAC ID 9638220833, 5 clinicians

Practice addresses (Care Compare)

4610 Jefferson LN NE
Albuquerque, NM 87109-2117
Phone (505) 559-4495

Hospital & facility affiliations

  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Cancer and Surgical Care PC CurrentSince Oct 1, 2011 Accepting new patients
Albuquerque Dermatology Associates, PA PastSince Oct 1, 2011 Accepting new patients

Locations

4610 Jefferson Ln NE
Albuquerque, NM 87109
Phone (505) 559-4495

1692 Hospital Dr
Santa Fe, NM 87505
Phone (505) 559-4495

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1972566404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 JEFFERSON LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092117",
            "telephone_number": "505-559-4495",
            "fax_number": "505-842-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 JEFFERSON LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092117",
            "telephone_number": "505-559-4495",
            "fax_number": "505-842-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "VICTOR",
        "middle_name": "V.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "89-344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5547",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.