Prema R Menon, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0420012263 Issued in VT

Practice address

111 Colchester Ave
Pulmonary and Critical Care Division Fahc
Burlington, VT 05405-3421

Phone

(802) 847-1558

Fax

(802) 847-2444

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: pmenon9173@direct.uvmhealth.org

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1346445624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BEAUMONT AVE",
            "address_2": "GIVEN D208D",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054051742",
            "telephone_number": "802-656-3525",
            "fax_number": "802-656-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "PULMONARY AND CRITICAL CARE DIVISION FAHC",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054053421",
            "telephone_number": "802-847-1558",
            "fax_number": "802-847-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "PREMA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VT",
            "license": "0420012263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200872260A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aldijana Mekic
• Melissa Hill Counseling LLC
• Wendy Memishian
• Angela Menard, LADC
• Polly Menendez, P.T.
• Nyarkoa Mensah-Jordan, LICSW
• Katherine Elizabeth Menson, D.O.
• Taryn D Mercer, OTR/L
• Morgan Merchand, APRN
• Charles E Mercier, M.D.

• Pulmonary Disease Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Pulmonary Disease Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.