Individual provider Active NPI

Bang Cao To, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Winooski, VT
National Provider Identifier
1194019935
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
055.0031140 Issued in VT
Practice address
32 Malletts Bay Avenue
B
Winooski, VT 05404-1959
Phone
(802) 655-4422
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014738 NY
Medical Physician Assistant 363AM0700X 055.0031140 VT Primary

Addresses

Primary practice location

32 Malletts Bay Avenue
B
Winooski, VT 05404-1959

Mailing address

32 Malletts Bay Ave
B
Winooski, VT 05404-1960
Phone (802) 578-2312

Other practice location 1

789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130130000286 VT Practitioner - Physician Assistant 7618146580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of Burlington IncGroup PAC ID 2062491251, 84 clinicians

Practice addresses (Care Compare)

32 Malletts Bay Ave
Suite B
Winooski, VT 05404-1960
Phone (802) 655-4422

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309

Hospital & facility affiliations

  • Uvmhn Home Health and Hospice Home health agency, Colchester, VT, CCN 477000
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014738NYMDMedical Physician Assistant
055.0031140VTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince May 1, 2017 Accepting new patients
Northwestern Medical Center Inc CurrentSince Apr 9, 2018 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Apr 9, 2018 Accepting new patients
Community Health Centers of Burlington Inc Past Accepting new patients

Locations

789 Pine St
Burlington, VT 05401
Phone (802) 264-1052

617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158

927 Ethan Allen Hwy
Unit 2
Milton, VT 05468
Phone (802) 524-8911

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

260 Crest Rd
Ste 102
Saint Albans, VT 05478
Phone (802) 524-1064

260 Crest Rd
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1223

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

32 Malletts Bay Ave
Winooski, VT 05404
Phone (802) 655-4422

32 Malletts Bay Ave
Ste B
Winooski, VT 05404
Phone (802) 655-4422

Interoperability endpoints

  • Direct secure messaging: bang.to.p1@direct.chcb.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1194019935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MALLETTS BAY AVE",
            "address_2": "B",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041960",
            "telephone_number": "802-578-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MALLETTS BAY AVENUE",
            "address_2": "B",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041959",
            "telephone_number": "802-655-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Pine St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014924",
            "country_code": "US",
            "telephone_number": "802-864-0693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TO",
        "first_name": "BANG",
        "middle_name": "CAO",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014738",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "055.0031140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winooski, VT

Sources for this page

Verify at the official NPI Registry.