Active NPI
Sepinoud Bazel, M.D.
- Family Medicine Physician
- South Burlington, VT
National Provider Identifier
1043419930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0420012014
- Practice address
- 20 Kimball Ave Ste 303
South Burlington, VT 05403 - Phone
- (802) 495-5817
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Middlebury, VT
- NPI 1780770511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2018 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420012014 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- sepinoud.bazel@chslv.eclinicaldirectplus.com
- sepinoud.bazel@103216947658756.direct.elationemr.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420012014 | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
20 Kimball Ave Ste 303
South Burlington, VT 05403
Mailing address
20 Kimball Ave Ste 303
South Burlington, VT 05403-6805
Phone (802) 495-5817
Other practice location 1
1878 Mountain Rd
Stowe, VT 05672-4776
Phone (802) 253-4853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2019.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1043419930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 KIMBALL AVE STE 303",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036805",
"telephone_number": "802-495-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 KIMBALL AVE STE 303",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "05403",
"telephone_number": "802-495-5817"
}
],
"practiceLocations": [
{
"address_1": "1878 Mountain Rd",
"address_purpose": "LOCATION",
"city": "Stowe",
"state": "VT",
"postal_code": "056724776",
"country_code": "US",
"telephone_number": "802-253-4853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAZEL",
"first_name": "SEPINOUD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "0420012014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.