Active NPI
Danielle Lynne Tamburrini, D.O.
- Surgery Physician
- Springfield, VT
National Provider Identifier
1295180404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 032.0133955
- Practice address
- 25 Ridewood Road
Springfield, VT 05156 - Phone
- (802) 885-2151
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 032.0133955 | VT | Primary |
Addresses
Primary practice location
25 Ridewood Road
Springfield, VT 05156
Mailing address
6103 Mill Rd
Ronkonkoma, NY 11779-1420
Phone (518) 321-5646
Other practice location 1
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone (518) 321-5646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3128522 | Medicaid | NH | |
| 6707269 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Montauk Hwy
Life Care Ctr
Hampton Bays, NY 11946
Phone (631) 723-5000
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032.0133955 | VT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Single Specialty | Current | Accepting new patients |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
280 Union Ave
Holbrook, NY 11741
Phone (631) 227-6660
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
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.
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
Single Specialty
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1295180404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6103 MILL RD",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117791420",
"telephone_number": "518-321-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 RIDEWOOD ROAD",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "05156",
"telephone_number": "802-885-2151"
}
],
"practiceLocations": [
{
"address_1": "1315 Hospital Dr",
"address_purpose": "LOCATION",
"city": "St Johnsbury",
"state": "VT",
"postal_code": "058199210",
"country_code": "US",
"telephone_number": "518-321-5646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAMBURRINI",
"first_name": "DANIELLE",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2022-09-22",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "VT",
"license": "032.0133955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3128522",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6707269",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.