NPIMap

Individual provider Active NPI

Peter Van Buren

  • Cardiovascular Disease Physician
  • South Burlington, VT
National Provider Identifier
1104912310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Practice address
62 Tilley Dr
South Burlington, VT 05403-4407
Phone
(802) 847-4600
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Cardiovascular Disease Physician 207RC0000X VT Primary

Addresses

Primary practice location

62 Tilley Dr
South Burlington, VT 05403-4407

Mailing address

500 S Willard St
Burlington, VT 05401-4005

Other identifiers 1

IdentifierTypeStateIssuer
OVNO408MedicaidVT

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
I20041203000191 VT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820054612 Reassigns benefits to 4 organizations
I20071103000011 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8820054612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Vermont College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Center IncGroup PAC ID 5496714313, 105 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

133 Fairfield St
Saint Albans, VT 05478-1726

62 Tilley Dr
South Burlington, VT 05403-4407

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
420008553VTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Aug 6, 2012 Accepting new patients
Central Vermont Medical Center Inc Cardiovascular Disease CurrentSince Apr 3, 2024 Accepting new patients
Elizabethtown Community Hospital CurrentSince Dec 6, 2024 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Porter Hospital, Inc Cardiovascular Disease CurrentSince Apr 3, 2024 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Aug 6, 2012 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jul 1, 1992 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Apr 3, 2024 Accepting new patients

Locations

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

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

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

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

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

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

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

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

62 Tilley Dr
South Burlington, VT 05403
Phone (802) 847-3737

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: pvanburen3842@direct.uvmhealth.org

Organizations & group practices 8

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 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104912310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S WILLARD ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 TILLEY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034407",
            "telephone_number": "802-847-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BUREN",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVNO408",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.