Active NPI
Souzana Obretenova, M.D.
- Neurology Physician
- Burlington, VT
National Provider Identifier
1144634791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 042.0016750
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-0000
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 321247 | NY | |
| Neurology Physician | 2084N0400X | 042.0016750 | VT | Primary |
| Neurology Physician | 2084N0400X | 280155 | MA | |
| Neurology Physician | 2084N0400X | 2018004028 | MO |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Other practice location 1
75 Beekman St
Plattsburgh, NY 12901-1427
Phone (518) 561-2000
Other practice location 2
133 Park St
Malone, NY 12953-1244
Phone (518) 483-3000
Other practice location 3
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone (314) 362-5000
Other practice location 4
2215 Oregon Ave
Saint Louis, MO 63104-2207
Phone (636) 237-4200
Other practice location 5
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6000
Other practice location 6
130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 371-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Georgetown University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280155 | MA | MD | Neurology Physician |
| 321247 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Internal Medicine | Current | Accepting new patients |
| University of Vermont Medical Center Inc | Internal Medicine | Current | Accepting new patients |
| Fletcher Allen Health Care Inc | Past | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
1 S Prospect St
#2
Burlington, VT 05401
Phone (802) 847-3572
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
#5
Burlington, VT 05401
Phone (802) 847-2884
Interoperability endpoints
- sobretenova533066@direct.uvmhealth.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
Internal Medicine
-
- Radiation Oncology Physician
- Burlington, VT
- NPI 1619266624
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1558381889
Hospital
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1144240474
Hospital
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Middlebury, VT
- NPI 1033340641
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1144634791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-0000"
}
],
"practiceLocations": [
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011427",
"country_code": "US",
"telephone_number": "518-561-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 Park St",
"address_purpose": "LOCATION",
"city": "Malone",
"state": "NY",
"postal_code": "129531244",
"country_code": "US",
"telephone_number": "518-483-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Barnes Jewish Hospital Plz",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101003",
"country_code": "US",
"telephone_number": "314-362-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Oregon Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631042207",
"country_code": "US",
"telephone_number": "636-237-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 S New Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-251-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Fisher Rd",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056029516",
"country_code": "US",
"telephone_number": "802-371-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBRETENOVA",
"first_name": "SOUZANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "321247",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VT",
"license": "042.0016750",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "280155",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2018004028",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.