Individual provider Active NPI

Joshua A. Plavin, M.D.

  • Internal Medicine Physician
  • Randolph, VT
National Provider Identifier
1073526851
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0420010143 Issued in VT
Practice address
44 S Main St
Randolph, VT 05060-1381
Phone
(802) 728-7000
Fax
(802) 728-2633
NPI assigned
Aug 14, 2006
Last updated
May 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0420010143 VT Primary
Pediatrics Physician 208000000X 0420010143 VT

Addresses

Primary practice location

44 S Main St
Randolph, VT 05060-1381

Mailing address

PO Box 2000
Randolph, VT 05060-2000
Phone (802) 728-7000

Other identifiers 1

IdentifierTypeStateIssuer
OVN2451MedicaidVT

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
I20101130001370 VT Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3779779889 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420010143VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Medical Center Inc CurrentSince Oct 14, 2000 Accepting new patients
Central Vermont Medical Center Inc Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
University of Vermont Medical Center Inc Internal Medicine CurrentSince Jul 15, 2019 Accepting new patients
Central Vermont Medical Center Inc Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Gifford Medical Center Inc. CurrentSince Oct 14, 2000 Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients

Locations

130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235

82 E View Ln
Barre, VT 05641
Phone (802) 223-4200

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

1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114

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

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

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

118 Tilley Dr
Ste 201
South Burlington, VT 05403
Phone (802) 847-5550

Interoperability endpoints

  • Direct secure messaging: jplavin285914@direct.uvmhealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central Vermont Home Health & Hospice, IncBarre, VT, CCN 471505 Hospice Corporate Director May 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1073526851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050602000",
            "telephone_number": "802-728-7000",
            "fax_number": "802-728-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601381",
            "telephone_number": "802-728-7000",
            "fax_number": "802-728-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAVIN",
        "first_name": "JOSHUA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420010143",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "0420010143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2451",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

Verify at the official NPI Registry.