Dorothea L. De Gutis, MD
Individual provider Active NPI Neurology Physician · Brattleboro, VT
NPI 1124069588 · NPPES record last updated May 9, 2019
Key facts
- NPI
- 1124069588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 042.0012079 (VT)
- Practice address
- 51 Fairview St
Brattleboro, VT 05301-6629 - Phone
- (802) 254-6028
- Fax
- (802) 254-7501
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Care and Rehabilitation Services of Southeastern Vermont Inc
Practice addresses (Care Compare)
390 River St
Springfield, VT 05156-2226
Phone (802) 886-4500
Hospital & facility affiliations
- Brattleboro Memorial Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101222000095 | VT | Practitioner - Psychiatry | 6800955261 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0012079 | VT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Current |
Accepting new patients | |
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Current |
Accepting new patients | |
| Brattleboro Retreat | Past | Accepting new patients |
Locations
51 Fairview St
Brattleboro, VT 05301
Phone (802) 254-6028
390 River St
Springfield, VT 05156
Phone (802) 886-4567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 042-0012079 | VT | |
| Psychiatry Physician | 2084P0800X | 042-0012079 | VT | |
| Neurology Physician | 2084N0400X | 042.0012079 | VT | Yes |
| Psychiatry Physician | 2084P0800X | 042.0012079 | VT |
Addresses
Primary practice location
51 Fairview St
Brattleboro, VT 05301-6629
Mailing address
390 River St
Springfield, VT 05156-2226
Phone (802) 886-4500
Other providers in Brattleboro, VT
- Judith A. Davidson
- Brian Davis
- Katherine Davis
- Rebecca I Davis
- Jaime Dawson
- Charles Dwight Decker
- Thomas Mario Declemente
- Dorothy Deines
- Deirdre H. Donaldson, M.D., PLC
- Wendy Anne Demartino
All providers in Brattleboro, VT · Neurology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.