Active NPI
Mitchell B Kramer, PHD
- Audiologist
- Rutland, VT
National Provider Identifier
1114927035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 063-00015
- Practice address
- 69 Allen St
Suite 1
Rutland, VT 05701-4564 - Phone
- (802) 775-3314
- Fax
- (802) 775-9617
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 063-00015 | VT | Primary |
Addresses
Primary practice location
69 Allen St
Suite 1
Rutland, VT 05701-4564
Mailing address
69 Allen St
Suite 1
Rutland, VT 05701-4564
Phone (802) 775-3314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100-0031 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063-00015 | VT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Vermont ENT, P.C. | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114927035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 ALLEN ST",
"address_2": "SUITE 1",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014564",
"telephone_number": "802-775-3314",
"fax_number": "802-775-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 ALLEN ST",
"address_2": "SUITE 1",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014564",
"telephone_number": "802-775-3314",
"fax_number": "802-775-9617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "MITCHELL",
"middle_name": "B",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VT",
"license": "063-00015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100-0031",
"state": "VT"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.