Organization Active NPI

Richard E Kast MD PC

  • Psychiatry Physician
  • Burlington, VT
National Provider Identifier
1164881629
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042-0008320 Issued in VT
Legal business name
RICHARD E KAST MD PC
Doing business as
Richard E Kast MD PC
Practice address
11 Arlington CT
Burlington, VT 05408-2544
Phone
(802) 557-7278
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Dr. Richard E Kast, MDNPI 1235233644
Title
Owner
Phone
(802) 557-7278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 042-0008320 VT Primary

Addresses

Primary practice location

11 Arlington CT
Burlington, VT 05408-2544

Mailing address

11 Arlington CT
Burlington, VT 05408-2544
Phone (802) 557-7278

Other identifiers 1

IdentifierTypeStateIssuer
1027104MedicaidVT

Other names 1

  • Richard E Kast MD PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160224001179 VT Part B Supplier - Clinic/Group Practice 5395040653 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, VT

National Provider Directory

National Provider Directory

Locations

148 College St
Ste 202D
Burlington, VT 05401

22 Church St
Fl 3
Burlington, VT 05401
Phone (802) 863-2462

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1164881629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ARLINGTON CT",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082544",
            "telephone_number": "802-557-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ARLINGTON CT",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082544",
            "telephone_number": "802-557-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E KAST MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "KAST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-557-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0008320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027104",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard E Kast MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.