Active NPI
Andrew Minkin, M.D.
- Gastroenterology Physician
- Berlin, VT
National Provider Identifier
1275582264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0420010166
- Practice address
- 195 Hospital Loop
Suite 7
Berlin, VT 05602-9522 - Phone
- (802) 229-9144
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0420010166 | VT | Primary |
Addresses
Primary practice location
195 Hospital Loop
Suite 7
Berlin, VT 05602-9522
Mailing address
195 Hospital Loop
Suite 7
Berlin, VT 05602-9522
Phone (802) 229-9144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN2558 | Medicaid | VT | |
| 100015260 | Other | VT | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420010166 | VT | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1275582264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 HOSPITAL LOOP",
"address_2": "SUITE 7",
"city": "BERLIN",
"state": "VT",
"postal_code": "056029522",
"telephone_number": "802-229-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 HOSPITAL LOOP",
"address_2": "SUITE 7",
"city": "BERLIN",
"state": "VT",
"postal_code": "056029522",
"telephone_number": "802-229-9144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINKIN",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VT",
"license": "0420010166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN2558",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100015260",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.