NPIMap

Wendell Adam Bliss, MD

Individual provider Active NPI Emergency Medicine Physician · Burlington, VT

NPI 1356848857 · NPPES record last updated Aug 22, 2023

Key facts

NPI
1356848857
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
042-0016989 (VT)
Practice address
111 Colchester Ave
Burlington, VT 05401-1473
Phone
(802) 847-0000
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
University of Louisville School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Vermont Medical Center Inc (1,208 clinicians)

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Hospital & facility affiliations

  • Elizabethtown Community Hospital Hospital · Elizabethtown, NY · CCN 331302
  • The University of Vermont Health Network-Alice Hy Hospital · Malone, NY · CCN 331321
  • Univ. of Vermont - Fletcher Allen Health Care Hospital · Burlington, VT · CCN 470003

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY, VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230821002059 NY Practitioner - Emergency Medicine 4688095920 Reassigns benefits to 5 organizations
I20230906000312 VT Practitioner - Emergency Medicine 4688095920 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0016989VTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
Alice Hyde Medical Center Current
since Oct 13, 2023		 Accepting new patients
Elizabethtown Community Hospital Current
since Jul 1, 2023		 Accepting new patients
Central Vermont Medical Center Inc Current
since Oct 13, 2023		 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Emergency Medicine Current
since Feb 1, 2024		 Accepting new patients
University of Vermont Medical Center Inc Emergency Medicine Current
since Jul 23, 2023		 Accepting new patients
Elizabethtown Community Hospital Current
since Jul 1, 2023		 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Interoperability endpoints

  • Direct secure messaging: wbliss376826@direct.uvmhealth.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 042-0016989 VT Yes

Addresses

Primary practice location

111 Colchester Ave
Burlington, VT 05401-1473

Mailing address

27 Mary St
S Burlington, VT 05403-6316

Other practice location 1

500 S Preston St Rm 305
Louisville, KY 40202-1702
Phone (502) 852-8696

Other providers in Burlington, VT

All providers in Burlington, VT · Emergency Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.