NPIMap

Individual provider Active NPI

Andrew Carl Stanley, MD

  • Vascular Surgery Physician
  • Burlington, VT
National Provider Identifier
1245263896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
042-0009662 Issued in VT
Practice address
111 Colchester Ave
Main Pavilion-Level 5 Vascular
Burlington, VT 05401-1473
Phone
(802) 847-7097
Fax
(802) 847-0970
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 042-0009662 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Main Pavilion-Level 5 Vascular
Burlington, VT 05401-1473

Mailing address

1040 Beaver Creek Rd
Shelburne, VT 05482-6959
Phone (802) 847-7097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050112000758 VT Practitioner - Vascular Surgery 3971552373 Reassigns benefits to 1 organization
I20071219000125 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 3971552373 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Warren Alpert Medical School of Brown University, 1991
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

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0009662VTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Jan 22, 2025 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
University of Vermont Medical Center Inc CurrentSince Mar 8, 2018 Accepting new patients
Alice Hyde Medical Center CurrentSince Jan 22, 2025 Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients
University of Vermont Medical Group New York PLLC Vascular Surgery Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

214 Cornelia St
Ste 102
Plattsburgh, NY 12901
Phone (518) 561-6410

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

111 Colchester Ave
#5
Burlington, VT 05401
Phone (802) 847-2884

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

Interoperability endpoints

  • Direct secure messaging: astanley3877@direct.uvmhealth.org

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245263896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 BEAVER CREEK RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826959",
            "telephone_number": "802-847-7097",
            "fax_number": "802-847-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "MAIN PAVILION-LEVEL 5 VASCULAR",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-7097",
            "fax_number": "802-847-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "ANDREW",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VT",
            "license": "042-0009662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.