Individual provider Active NPI

Nathan K Endres, M.D.

  • Orthopaedic Trauma Physician
  • S Burlington, VT
National Provider Identifier
1184659104
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
017559 Issued in ME
Practice address
192 Tilley Drive
Uvm Medical Center-Orthopedic Specialty Center
S Burlington, VT 05403
Phone
(802) 847-2663
NPI assigned
Jul 11, 2006
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 227762 MA
Orthopaedic Trauma Physician 207XX0801X 017559 ME Primary

Addresses

Primary practice location

192 Tilley Drive
Uvm Medical Center-Orthopedic Specialty Center
S Burlington, VT 05403

Mailing address

192 Tilley Dr
Uvm Medical Center
S Burlington, VT 05403
Phone (802) 847-2662

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080912000092 VT Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5799780409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Rochester School of Medicine and Dentistry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

192 Tilley Dr
Orthopeadic
S Burlington, VT 05403-4440
Phone (802) 847-4690

790 College Pkwy
Colchester, VT 05446-3007
Phone (802) 847-0000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017559MEMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Orthopaedic Surgery CurrentSince Jan 17, 2024 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jul 17, 2008 Accepting new patients
Orthopaedic Associates of Portland, PA Orthopaedic Surgery Past Accepting new patients
Orthopaedic Surgery Center Past Accepting new patients
Massachusetts General Physicians Organization Inc Orthopaedic Surgery Past Accepting new patients

Locations

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

192 Tilley Dr
South Burlington, VT 05403
Phone (802) 847-2663

Interoperability endpoints

  • Direct secure messaging: nendres3928@direct.uvmhealth.org

Organizations & group practices 5

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 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1184659104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 TILLEY DR",
            "address_2": "UVM MEDICAL CENTER",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-847-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 TILLEY DRIVE",
            "address_2": "UVM MEDICAL CENTER-ORTHOPEDIC SPECIALTY CENTER",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-847-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "NATHAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "227762",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "ME",
            "license": "017559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Burlington, VT

Sources for this page

Verify at the official NPI Registry.