Individual provider Active NPI

Garrick A Applebee, M.D.

  • Pediatric Sleep Medicine Physician
  • Burlington, VT
National Provider Identifier
1114934080
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
License
042-0010926 Issued in VT
Practice address
Uhc Campus
1 South Prospect Street
Burlington, VT 05401-3456
Phone
(802) 847-5338
NPI assigned
Aug 2, 2006
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 281927 NY
Pediatric Sleep Medicine Physician 2080S0012X 042-0010926 VT Primary

Addresses

Primary practice location

Uhc Campus
1 South Prospect Street
Burlington, VT 05401-3456

Mailing address

PO Box 14890
SPHP Payer Credentialing
Albany, NY 12212
Phone (518) 591-1121

Other practice location 1

FAHC MCHV Campus
Patrick 5, CNL
Burlington, VT 05401
Phone (802) 847-5338

Other practice location 2

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161109000732 NY Practitioner - Sleep Medicine 0547299026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
State University of New York at Buffalo School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Pine W PLZ
Suite 101
Albany, NY 12205-5531
Phone (518) 464-9999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281927NYMDLicensed Practical Nurse
042-0010926VTMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Hospital of the City of Albany CurrentSince Sep 20, 2016 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Sep 20, 2016 Accepting new patients
St. Peter's Hospital of the City of Albany Current Accepting new patients

Locations

1 Pine West Plz
Ste 101
Albany, NY 12205
Phone (518) 464-9999

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

Interoperability endpoints

  • Direct secure messaging: gapplebee10621@direct.uvmhealth.org
  • Direct secure messaging: gapplebee788801@direct.trinity-health.org

Organizations & group practices 3

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 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1114934080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "address_2": "SPHP PAYER CREDENTIALING",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12212",
            "telephone_number": "518-591-1121",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UHC CAMPUS",
            "address_2": "1 SOUTH PROSPECT STREET",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013456",
            "telephone_number": "802-847-5338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "FAHC MCHV Campus",
            "address_2": "Patrick 5, CNL",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "05401",
            "country_code": "US",
            "telephone_number": "802-847-5338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 S Prospect St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054013456",
            "country_code": "US",
            "telephone_number": "802-847-0379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLEBEE",
        "first_name": "GARRICK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NY",
            "license": "281927",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "VT",
            "license": "042-0010926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.