JOHN R. VIGIL, MD, LLC
NPI 1992084008
General Practice in Albuquerque, NM

Active since August 06, 2011CLIA 32D2139041 · Waiver
3900 EUBANK BLVD NE STE 18, ALBUQUERQUE, NM 87111(505) 884-3344 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John R. Vigil, Md, Llc NPPES

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

JOHN R. VIGIL, MD, LLC (NPI 1992084008) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through October 29, 2027 and lists Johnnie R Vigil, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1992084008
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJOHN R. VIGIL, MD, LLC
Location Address3900 EUBANK BLVD NE STE 18Albuquerque, NM 87111-3427
Mailing Address205 W Boutz Rd Bldg 1Las Cruces, NM 88005-3259 · (575) 532-7000
Organization SubpartNo
Authorized OfficialJohnnie R VigilOwner/md · (505) 263-1422
Enumeration DateAugust 6, 2011
Last NPPES UpdateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1992084008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NM · 89-319
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3900 EUBANK BLVD NE STE 18, Albuquerque, NM 87111

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John R. Vigil, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to John R. Vigil, MD, LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

General Practice
NPI 1285762377
10700 MENAUL BLVD NE SUITE C
Albuquerque, NM 87112
(505) 323-8911
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1396355996
2500 LOUISIANA BLVD NE STE 305
Albuquerque, NM 87110
(505) 718-9049
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1265094916
1634 ALAMEDA BLVD NW
Albuquerque, NM 87114
(505) 884-3344
✔ PECOS✔ Accepts Medicare8.2 mi
Addiction Medicine
NPI 1306089313
MSC 09 5030 1 UNIVERSITY OF NEW MEXICO
Albuquerque, NM 87131
(505) 272-2223
✔ PECOS✔ Accepts Medicare9.8 mi
Family Practice
NPI 1538555461
1007 N POPE ST
Silver City, NM 88061
(575) 388-1511
✔ PECOS✔ Accepts Medicare191 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2139041

John R Vigil · Albuquerque, NM
Active · expires Oct 29, 2027
CLIA Number32D2139041
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorDr. John R. Vigil
Laboratory Phone(505) 884-3344
Laboratory LocationJohn R Vigil3900 Eubank Blvd NE Ste 12, Albuquerque, NM 87111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 John R. Vigil, MD, LLC's NPI number?

The NPI number for John R. Vigil, MD, LLC is 1992084008. It was assigned to this organization in the NPPES registry on August 6, 2011.

Where is John R. Vigil, MD, LLC located?

John R. Vigil, MD, LLC is located at 3900 Eubank Blvd NE Ste 18, Albuquerque, NM 87111. The listed phone number is (505) 884-3344.

What is John R. Vigil, MD, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John R. Vigil, MD, LLC enrolled in Medicare?

Yes. John R. Vigil, MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John R. Vigil, MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to John R. Vigil, MD, LLC, in Addiction Medicine, Family Practice, General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does John R. Vigil, MD, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2139041) is associated with this NPI, valid through October 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John R. Vigil, MD, LLC was last updated on October 5, 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.