NPIMap

Diego Andres Adrianzen Herrera, M.D.

Individual provider Active NPI Hematology & Oncology Physician · Burlington, VT

NPI 1114367463 · NPPES record last updated Apr 15, 2019

Key facts

NPI
1114367463
Entity type
Individual (NPI type 1)
Primary specialty
Hematology & Oncology Physician 207RH0003X
License
042-0014213 (VT)
Practice address
111 Colchester Ave
Burlington, VT 05401-1473
Phone
(802) 847-0000
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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.

Hospital & facility affiliations 21

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

Medicare Care Compare profile

Specialty
Hematology/Oncology
Also: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Vermont Medical Center Inc (1,208 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Univ. of Vermont - Fletcher Allen Health Care Hospital · Burlington, VT · CCN 470003
  • The University of Vermont Health Network - Champl Hospital · Plattsburgh, NY · CCN 330250
  • Porter Hospital Inc Hospital · Middlebury, VT · CCN 471307
  • Northwestern Medical Center Inc Hospital · Saint Albans, VT · CCN 470024
  • Copley Hospital Hospital · Morrisville, VT · CCN 471305

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190802002305 VT Practitioner - Hematology/Oncology
Practitioner - Internal Medicine		 3476880196 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0014213VTMDHematology & Oncology Physician

Interoperability endpoints

  • Direct secure messaging: dadrianzenherrera220768@direct.uvmhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 042-0014213 VT Yes
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

111 Colchester Ave
Burlington, VT 05401-1473

Mailing address

515 W 59TH St
Apt.10J
New York, NY 10019-1047
Phone (914) 414-9685

Other practice location 1

515 W 59th St
Apt. 10J
New York, NY 10019-1047
Phone (914) 414-9685

Other providers in Burlington, VT

All providers in Burlington, VT · Hematology & Oncology Physician in Vermont

Sources for this page

Verify at the official NPI Registry.