Michael William Gleeson, MD, PHD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

042.0012676 Issued in VT

Practice address

1 Albert Cree Dr
Rutland, VT 05701-4674

Phone

(802) 786-1400

Fax

(802) 786-1405

NPI assigned

May 24, 2010

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rutland Hospital, Inc.Group PAC ID 7214846377, 186 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/

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.

• Rutland Hospital, Inc.

  dba Rutland Regional Medical Center

  • Specialist
  • Rutland, VT
  • NPI 1083678833
  Medicare reassignment Care Compare group NPD
• Mid Vermont Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Rutland, VT
  • NPI 1316085814
  NPD
• Rutland Hospital, Inc

  • Emergency Medicine Physician
  • Rutland, VT
  • NPI 1194789941
  NPD
• Rutland Hospital, Inc.

  • Specialist
  • Rutland, VT
  • NPI 1295799047
  NPD
• Rutland Hospital, Inc.

  • Psychiatric Hospital Unit
  • Rutland, VT
  • NPI 1467416206
  NPD
• Rutland Hospital, Inc.

  • Specialist
  • Rutland, VT
  • NPI 1578527578
  NPD
• Rutland Hospital, Inc.

  dba Rutland Regional Medical Center

  • General Acute Care Hospital
  • Rutland, VT
  • NPI 1720042203
  NPD (past)

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

• Rutland Hospital, Inc.

  dba Rutland Regional Medical Center

  • General Acute Care Hospital
  • Rutland, VT
  • NPI 1720042203
  Care Compare affiliation

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1073832549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014560",
            "telephone_number": "802-785-1400",
            "fax_number": "802-786-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALBERT CREE DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014674",
            "telephone_number": "802-786-1400",
            "fax_number": "802-786-1405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC, Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-653-9500",
            "fax_number": "603-650-6122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Allen St",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014560",
            "country_code": "US",
            "telephone_number": "802-785-1400",
            "fax_number": "802-786-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEESON",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VT",
            "license": "042.0012676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natana Gill, CRC
• La'Keiah M Gillespie, NCPT, NCMA, LNA
• Delainey Gillis
• Philip Ginsburg, MD
• Amy Marie Gjerde, M.D.
• Kate Goetz
• Dena Goldberg, MSPT
• Ava Marissa Gonzalez
• Lindsey Gonzalez
• Franklin Goodkin, PHD

• Gastroenterology Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Gastroenterology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.