Individual provider Active NPI

Frederick Hesse

  • Addiction Medicine (Family Medicine) Physician
  • Rutland, VT
National Provider Identifier
1336215698
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
042.0013651 Issued in VT
Practice address
199 Stratton Rd Ste 1
Rutland, VT 05701-4892
Phone
(802) 775-7798
Fax
(802) 775-7762
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 042.0013651 VT Primary

Addresses

Primary practice location

199 Stratton Rd Ste 1
Rutland, VT 05701-4892

Mailing address

199 Stratton Rd Ste 1
Rutland, VT 05701-4892
Phone (802) 775-7798

Other practice location 1

23 Upper Pln
Bradford, VT 05033-9016
Phone (802) 222-5201

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
I20170206000294 VT Practitioner - Addiction Medicine 2163446659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
University of Connecticut School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bradford Psychiatric Associates LLCGroup PAC ID 9234411422, 3 clinicians

Practice addresses (Care Compare)

199 Stratton Rd
Suite 1
Rutland, VT 05701-4890

199 Stratton Rd
Suite 1
Rutland, VT 05701-4892
Phone (802) 775-7798

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Dimensions Primary Care PLLC CurrentSince Jun 26, 2020 Accepting new patients
Oas, LLC Past Accepting new patients

Locations

92 Allen St
Rutland, VT 05701
Phone (802) 773-4256

Interoperability endpoints

  • Direct secure messaging: frederick.hesse.1@24449.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1336215698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 STRATTON RD STE 1",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014892",
            "telephone_number": "802-775-7798",
            "fax_number": "802-775-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 STRATTON RD STE 1",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014892",
            "telephone_number": "802-775-7798",
            "fax_number": "802-775-7762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Upper Pln",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "VT",
            "postal_code": "050339016",
            "country_code": "US",
            "telephone_number": "802-222-5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESSE",
        "first_name": "FREDERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VT",
            "license": "042.0013651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.