Individual provider Active NPI

Kipp Edward Vanmeter, DO

  • Family Medicine Physician
  • Canton, CT
National Provider Identifier
1013145101
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
054570 Issued in CT
Practice address
117 Albany Tpke
Canton, CT 06019-2507
Phone
(860) 658-3444
Fax
(860) 658-3458
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 054570 CT Primary

Addresses

Primary practice location

117 Albany Tpke
Canton, CT 06019-2507

Mailing address

Hartford Healthcare Urgent Care
339 West Main Street
Avon, CT 06001
Phone (860) 696-4460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20151201001261 CT Practitioner - Family Practice 6800113804 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-6623

100 Simsbury Rd
Suite 203
Avon, CT 06001-3793
Phone (860) 284-5111

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

  • Visiting Nurse & Hospice of Litchfield County, Inc. Home health agency, Winsted, CT, CCN 077089
  • McLean Home Care and Hospice Home health agency, Simsbury, CT, CCN 077166
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054570CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center CurrentSince Sep 1, 2020 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Aug 1, 2018 Accepting new patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Aug 1, 2018 Accepting new patients
Midstate Medical Center Current Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Jul 15, 2019 Accepting new patients
Midstate Medical Center CurrentSince Sep 1, 2020 Accepting new patients
State of Connecticut CurrentSince Oct 20, 2015 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Sep 1, 2020 Accepting new patients
State of Connecticut CurrentSince Oct 20, 2015 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Sep 1, 2020 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

339 W Main St
Avon, CT 06001
Phone (860) 696-2150

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

100 Simsbury Rd
Ste 203
Avon, CT 06001
Phone (860) 284-5111

117 Albany Tpke
Canton, CT 06019
Phone (860) 658-3444

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540

1115 West St
Southington, CT 06489
Phone (860) 276-6000

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: kipp.vanmeter@xdr.hhchealthdirect.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 and National Provider Directory roles.

View all 13

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1013145101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HARTFORD HEALTHCARE URGENT CARE",
            "address_2": "339 WEST MAIN STREET",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-696-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ALBANY TPKE",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192507",
            "telephone_number": "860-658-3444",
            "fax_number": "860-658-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMETER",
        "first_name": "KIPP",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "054570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, CT

Sources for this page

Verify at the official NPI Registry.