Individual provider Active NPI

Roberto B. Abeyta, MD

  • Emergency Medicine Physician
  • Rutland, VT
National Provider Identifier
1104850171
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0420011703 Issued in VT
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.

View all 21

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 PC 2 clinicians
Northern Maine Medical Center 41 clinicians

Practice addresses (Care Compare)

194 E Main St
Fort Kent, ME 04743-1428
Phone (267) 754-3532

Hospital & facility affiliations

  • Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317
  • Springfield Hospital Hospital, Springfield, VT, CCN 471306

Merit-based Incentive Payment System (MIPS)

Final score
79.42 of 100Reported as group
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, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090917000473 ME Practitioner - Internal MedicinePractitioner - Emergency Medicine 1850447749 Reassigns benefits to 4 organizations
I20100311000405 VT Practitioner - Emergency MedicinePractitioner - Internal 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

LicenseStateTypeSpecialty
017953MEMDEmergency Medicine Physician
0420011703VTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Maine Medical Center CurrentSince Nov 18, 2023 Accepting new patients
Houlton Regional Hospital CurrentSince Oct 2, 2017 Accepting new patients
Down East Community Hospital CurrentSince Aug 7, 2021 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC Emergency Medicine CurrentSince Apr 9, 2019 Accepting new patients
Houlton Regional Hospital CurrentSince Oct 2, 2017 Accepting new patients
Springfield Hospital .Inc CurrentSince Jun 7, 2024 Accepting new patients
De Medical Ny PC CurrentSince Dec 15, 2025 Accepting new patients
Mainehealth CurrentSince Dec 1, 2018 Accepting new patients
Down East Community Hospital CurrentSince Aug 7, 2021 Accepting new patients
Springfield Hospital Emergency Medicine CurrentSince Jun 7, 2024 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Northern Maine Medical Center CurrentSince Nov 18, 2023 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0420011703 VT Primary
Emergency Medicine Physician 207P00000X 017953 ME

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
1104850171MedicaidME
001441387MedicaidPA

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

Verify at the official NPI Registry.