Active NPI
Roberto B. Abeyta, MD
- Emergency Medicine Physician
- Rutland, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0420011703
- Practice address
- 9 Dugway Rd
Rutland, VT 05701-9819 - Phone
- (802) 775-1158
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
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.
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
Emergency Medicine, VT
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
Emergency Medicine, VT
-
- Emergency Medicine Physician
- Ellsworth, ME
- NPI 1578032058
Emergency Medicine, ME
-
- Community/Retail Pharmacy
- Fort Kent, ME
- NPI 1952303422
-
- Rural Health Clinic/Center
- Fort Kent, ME
- NPI 1053345546
-
- Skilled Nursing Facility
- Fort Kent, ME
- NPI 1174519490
-
- Long Term Care Pharmacy
- Fort Kent, ME
- NPI 1184645921
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- De Medical Ny PCNorthern Maine Medical Center
Practice addresses (Care Compare)
194 E Main St
Fort Kent, ME 04743-1428
Phone (267) 754-3532
Hospital & facility affiliations
- Northern Maine Medical Center
- Springfield Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.42 of 100
- Quality
- 52.16
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 67.56
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090917000473 | ME | Practitioner - Internal Medicine | 1850447749 | Reassigns benefits to 4 organizations |
| I20100311000405 | VT | Practitioner - Emergency Medicine | 1850447749 | Reassigns benefits to 2 organizations |
| I20240110000589 | ME | Practitioner - Emergency Medicine | 1850447749 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017953 | ME | MD | Emergency Medicine Physician |
| 0420011703 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Maine Medical Center | Current | Accepting new patients | |
| Houlton Regional Hospital | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Bluewater Emergency Partners of Brunswick, LLC | Emergency Medicine | Current | Accepting new patients |
| Houlton Regional Hospital | Current | Accepting new patients | |
| Springfield Hospital .Inc | Current | Accepting new patients | |
| De Medical Ny PC | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Springfield Hospital | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of Maine, LLC | Emergency Medicine | Current | Accepting new patients |
| Northern Maine Medical Center | Current | Accepting new patients | |
| Northern Maine Medical Center | Past | Accepting new patients |
Locations
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326
194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101
20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900
11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434
140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734
140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734
140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000
243 Elm St
Claremont, NH 03743
Phone (603) 542-7771
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0420011703 | VT | Primary |
| Emergency Medicine Physician | 207P00000X | 017953 | ME |
Addresses
NPPES NPI RegistryPrimary practice location
9 Dugway Rd
Rutland, VT 05701-9819
Mailing address
9 Dugway Rd
Rutland, VT 05701-9819
Phone (802) 775-1158
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104850171 | Medicaid | ME | |
| 001441387 | Medicaid | PA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2013.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1104850171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DUGWAY RD",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057019819",
"telephone_number": "802-775-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DUGWAY RD",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057019819",
"telephone_number": "802-775-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEYTA",
"first_name": "ROBERTO",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "0420011703",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "017953",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104850171",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001441387",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.