CARLOS A. VIGIL P.A.
NPI 1639236300
Physician Assistant - Surgical in Tacoma, WA

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 596-3300 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos A. Vigil P.a. NPPES

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

CARLOS A. VIGIL P.A. (NPI 1639236300) is an individual surgical provider in Tacoma, Washington, licensed in Washington (PA10003501) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1639236300
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCARLOS A. VIGILCredential: P.A.
Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4265
Mailing Address209 Martin Luther King Jr WayTacoma, WA 98405-4265 · (253) 596-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMay 10, 2021
NPPES CertifiedMay 10, 2021
NPI 1639236300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA10003501
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10003501 (WA)
209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

Other Identifiers 1

Medicaid8343337WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carlos A. Vigil P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507827417
PECOS Enrollment IDI20041025000201
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 20

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

Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Radiology (Diagnostic Radiology)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pain Medicine (Pain Medicine)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Orthopaedic Surgery
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405

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 Carlos Vigil's NPI number?

The NPI number for Carlos Vigil is 1639236300. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Carlos Vigil located?

Carlos Vigil practices at 209 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 596-3300.

What is Carlos Vigil's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Carlos Vigil enrolled in Medicare?

Yes. Carlos Vigil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carlos Vigil was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.