Individual provider Active NPI

Sepinoud Bazel, M.D.

  • Family Medicine Physician
  • South Burlington, VT
National Provider Identifier
1043419930
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420012014 Issued in VT
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.

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
0420012014VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sepinoud.bazel@chslv.eclinicaldirectplus.com
  • Direct secure messaging: sepinoud.bazel@103216947658756.direct.elationemr.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420012014 VT Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.