NPIMap

Individual provider Active NPI

Deon Warren Vigilance, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Darby, PA
National Provider Identifier
1982748661
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD458690 Issued in PA
Practice address
1503 Lansdowne Ave Ste 3003
Darby, PA 19023-1308
Phone
(484) 494-5344
NPI assigned
Feb 16, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01065402 IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD458690 PA Primary

Addresses

Primary practice location

1503 Lansdowne Ave Ste 3003
Darby, PA 19023-1308

Mailing address

1503 Lansdowne Ave Ste 3003
Darby, PA 19023-1308
Phone (484) 494-5344

Other practice location 1

1801 N Senate Blvd
Ste3300
Indianapolis, IN 46202-1228
Phone (317) 963-1787

Other practice location 2

1801 N Senate Blvd
Ste3300
Indianapolis, IN 46202-1228
Phone (317) 963-1787

Other identifiers 2

IdentifierTypeStateIssuer
200925320MedicaidIN
103140222MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081215000568 IN Practitioner - Thoracic Surgery 7517029267 Reassigns benefits to 2 organizations
I20160803002103 PA Practitioner - Thoracic Surgery 7517029267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Pennsylvania State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

252 S 4TH St 2ND FL
Wellspan Cardiothoracic Surgery
Lebanon, PA 17042-6111
Phone (717) 270-3751

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (267) 957-7027

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065402INMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD458690PAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jun 1, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Apr 26, 2019 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Mar 1, 2014 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jun 1, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Nov 1, 2011 Accepting new patients
Wellspan Medical Group CurrentSince Apr 26, 2019 Accepting new patients
Major Hospital Past Accepting new patients
York Hospital Past Accepting new patients
Wellspan Medical Group Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

3832 Solutions Ctr
Chicago, IL 60677

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1801 N Senate Blvd
Ste 3300
Indianapolis, IN 46202
Phone (317) 948-0944

1801 Senate Blvd
Ste 755
Indianapolis, IN 46202
Phone (317) 962-5888

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1203 Langhorne Newtown Rd
Ste 320
Langhorne, PA 19047
Phone (215) 750-7818

1203 Langhorne Newtown Rd
Ste 226
Langhorne, PA 19047
Phone (215) 710-4460

252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751

252 S 4th St
#2
Lebanon, PA 17042
Phone (717) 270-3751

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

8012 Frankford Ave
Philadelphia, PA 19136
Phone (215) 516-6828

2630 Holme Ave
Ste 200
Philadelphia, PA 19152
Phone (215) 332-3972

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: dvigilance178498@wellspan.direct-ci.com
  • Direct secure messaging: dvigilance2016015@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982748661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 LANSDOWNE AVE STE 3003",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231308",
            "telephone_number": "484-494-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 LANSDOWNE AVE STE 3003",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231308",
            "telephone_number": "484-494-5344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 N Senate Blvd",
            "address_2": "Ste3300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021228",
            "country_code": "US",
            "telephone_number": "317-963-1787",
            "fax_number": "317-962-6259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N Senate Blvd",
            "address_2": "Ste3300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021228",
            "country_code": "US",
            "telephone_number": "317-963-1787",
            "fax_number": "317-962-6259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGILANCE",
        "first_name": "DEON",
        "middle_name": "WARREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01065402",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD458690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200925320",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103140222",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.