Individual provider Active NPI

Leo Vigne, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1982609285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
207239 Issued in NY
Practice address
227 E 19TH St
New York, NY 10003-2602
Phone
(212) 995-6160
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 207239 NY Primary

Addresses

Primary practice location

227 E 19TH St
New York, NY 10003-2602

Mailing address

66 Powerhouse Rd
3Rd Floor
Roslyn Heights, NY 11577-1324
Phone (516) 626-6366

Other identifiers 1

IdentifierTypeStateIssuer
01761673MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040920000441 NY Practitioner - Anesthesiology 6709854649 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207239NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leo Vigne MD PC CurrentSince Sep 1, 2018 Accepting new patients
Horizon Anesthesia PC Anesthesiology PastSince Dec 1, 2012 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients
North American Partners in Pain Management LLP PastSince Feb 18, 2014 Accepting new patients
Apollo Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

3250 Westchester Ave
Rm 102
Bronx, NY 10461
Phone (718) 518-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982609285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 POWERHOUSE RD",
            "address_2": "3RD FLOOR",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771324",
            "telephone_number": "516-626-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032602",
            "telephone_number": "212-995-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGNE",
        "first_name": "LEO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "207239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01761673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.