Individual provider Active NPI

Vincent James Miller, M.D.

  • Anesthesiology Physician
  • Colchester, VT
National Provider Identifier
1023131919
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0420011388 Issued in VT
Practice address
593 Hercules Dr
Colchester, VT 05446-5993
Phone
(802) 488-5350
NPI assigned
Apr 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0420011388 VT Primary

Addresses

Primary practice location

593 Hercules Dr
Colchester, VT 05446-5993

Mailing address

333 Southfield Dr
Williston, VT 05495-5213
Phone (802) 316-1467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20080122000044 VT Practitioner - Anesthesiology 5395826952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Vermont PLCGroup PAC ID 4385028661, 10 clinicians

Practice addresses (Care Compare)

593 Hercules Dr
Colchester, VT 05446-5993
Phone (802) 373-5266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420011388VTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Vermont PLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Clinical Colleagues Inc Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients

Locations

593 Hercules Dr
Colchester, VT 05446
Phone (802) 373-5266

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

Interoperability endpoints

  • Direct secure messaging: vmiller10730@direct.uvmhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1023131919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SOUTHFIELD DR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054955213",
            "telephone_number": "802-316-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 HERCULES DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465993",
            "telephone_number": "802-488-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VINCENT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "0420011388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.