NPIMap

Individual provider Active NPI

Janusz K Kikut, MD

  • Nuclear Radiology Physician
  • Burlington, VT
National Provider Identifier
1053338889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
0420010069 Issued in VT
Practice address
111 Colchester Ave
Dept. of Radiology
Burlington, VT 05401-1473
Phone
(802) 847-3592
Fax
(802) 847-4822
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 0420010069 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Dept. of Radiology
Burlington, VT 05401-1473

Mailing address

162 Lakewood Pkwy
Burlington, VT 05401-2763
Phone (802) 847-3592

Other identifiers 1

IdentifierTypeStateIssuer
OVN2332MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050411001218 VT Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 1658318712 Reassigns benefits to 8 organizations
I20240411002302 NY Practitioner - Diagnostic Radiology 1658318712 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter Hospital IncGroup PAC ID 1850365180, shared by 5 NPIs, 116 clinicians
Northwestern Medical Center IncGroup PAC ID 5496714313, 105 clinicians
Alice Hyde Medical CenterGroup PAC ID 4082525837, shared by 4 NPIs, 88 clinicians

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701

130 Fisher Rd
Central Vermont
Barre, VT 05602-8132
Phone (802) 371-4100

133 Fairfield St
Saint Albans, VT 05478-1726

133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545

133 Park St
Malone, NY 12953-1244

3 Driftwood Lane
Burlington, VT 05408
Phone (802) 847-0000

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

790 College Pkwy
Colchester, VT 05446-3007
Phone (802) 847-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420010069VTMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
University of Vermont Medical Center Inc CurrentSince Sep 1, 2000 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Porter Hospital, Inc CurrentSince Mar 4, 2024 Accepting new patients
Porter Hospital Inc Current Accepting new patients
Central Vermont Medical Center Inc CurrentSince Mar 4, 2024 Accepting new patients
Elizabethtown Community Hospital Current Accepting new patients
Alice Hyde Medical Center CurrentSince Apr 2, 2024 Accepting new patients
Elizabethtown Community Hospital CurrentSince Apr 2, 2024 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Sep 1, 2000 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Sep 1, 2000 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Apr 2, 2024 Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients
North Country Hospital & Health Center Inc Past Accepting new patients
American Radiology Associates, P.a. Nuclear Radiology Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

790 College Pkwy
#2
Colchester, VT 05446

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

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

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

Interoperability endpoints

  • Direct secure messaging: jkikut10567@direct.uvmhealth.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886

Organizations & group practices 16

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 16

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053338889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 LAKEWOOD PKWY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054012763",
            "telephone_number": "802-847-3592",
            "fax_number": "802-847-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "DEPT. OF RADIOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-3592",
            "fax_number": "802-847-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKUT",
        "first_name": "JANUSZ",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VT",
            "license": "0420010069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2332",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.