Individual provider Active NPI

Susan Hannah Rabin, MD

  • Family Medicine Physician
  • Williston, VT
National Provider Identifier
1285644450
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420009867 Issued in VT
Practice address
586 Oak Hill Rd
Thomas Chittenden Health Ctr
Williston, VT 05495-7103
Phone
(802) 878-8131
Fax
(802) 879-6853
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420009867 VT Primary

Addresses

Primary practice location

586 Oak Hill Rd
Thomas Chittenden Health Ctr
Williston, VT 05495-7103

Mailing address

586 Oak Hill Rd
Thomas Chittenden Health Ctr
Williston, VT 05495-7103
Phone (802) 878-8131

Other identifiers 1

IdentifierTypeStateIssuer
OVN2327MedicaidVT

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
I20100614000537 VT Practitioner - Family Practice 5294865523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richmond Family Medicine PLLCGroup PAC ID 7113199480, 11 clinicians

Practice addresses (Care Compare)

30 W Main St
Richmond, VT 05477-4479
Phone (802) 434-4123

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Uvmhn Home Health and Hospice Home health agency, Colchester, VT, CCN 477000
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420009867VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Chittenden Health Center, PLC Family Medicine Current Accepting new patients
Richmond Family Medicine PLLC Family Medicine CurrentSince Sep 29, 2011 Accepting new patients

Locations

30 W Main St
Richmond, VT 05477
Phone (802) 324-1401

586 Oak Hill Rd
Williston, VT 05495
Phone (802) 878-8131

Interoperability endpoints

  • Direct secure messaging: hannahrabin@richmondfamilymedicine.medentdirect.com

Organizations & group practices 2

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 7

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1285644450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 OAK HILL RD",
            "address_2": "THOMAS CHITTENDEN HEALTH CTR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957103",
            "telephone_number": "802-878-8131",
            "fax_number": "802-879-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 OAK HILL RD",
            "address_2": "THOMAS CHITTENDEN HEALTH CTR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957103",
            "telephone_number": "802-878-8131",
            "fax_number": "802-879-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "SUSAN",
        "middle_name": "HANNAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420009867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2327",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.