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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIGUEL D VIDAL DMD
NPI 1487613980
Oral & Maxillofacial Surgery in Boston, MA

Active since March 22, 2006PECOS Enrolled
55 FRUIT STREET CPZ 401, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114(617) 726-1076(617) 724-6681 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Miguel D Vidal Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL D VIDAL DMD (NPI 1487613980) is an individual oral & maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (20890) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487613980
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameMIGUEL D VIDALCredential: DMD
Location Address55 FRUIT STREET CPZ 401, MASSACHUSETTS GENERAL HOSPITALBoston, MA 02114
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Phone(617) 726-1076
Fax(617) 724-6681
Sole ProprietorNo
Enumeration DateMarch 22, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1487613980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MA · 20890
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
55 FRUIT STREET CPZ 401, Boston, MA 02114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miguel D Vidal Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA CAMPANELLA DMD
Oral & Maxillofacial Surgery
55 FRUIT STREET CPZ 401, MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (671) 726-1076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel Vidal's NPI number?

The NPI number for Miguel Vidal is 1487613980. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Miguel Vidal located?

Miguel Vidal practices at 55 Fruit Street Cpz 401 Massachusetts General Hospital, Boston, MA 02114. The listed phone number is (617) 726-1076.

What is Miguel Vidal's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Miguel Vidal enrolled in Medicare?

Yes. Miguel Vidal is registered in the Medicare PECOS enrollment system.

What insurance does Miguel Vidal accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Miguel Vidal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miguel Vidal was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.