Individual provider Active NPI

Joseph Pekala, MD

  • Diagnostic Radiology Physician
  • Berlin, VT
National Provider Identifier
1366468951
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0420011229 Issued in VT
Practice address
130 Fisher Rd
CVMC
Berlin, VT 05602-9516
Phone
(802) 371-4133
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD226002 OR
Diagnostic Radiology Physician 2085R0202X 0420011229 VT Primary
Diagnostic Radiology Physician 2085R0202X 12274 NH
Diagnostic Radiology Physician 2085R0202X 200400568 NC
Diagnostic Radiology Physician 2085R0202X 2095 WI

Addresses

Primary practice location

130 Fisher Rd
CVMC
Berlin, VT 05602-9516

Mailing address

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

Other practice location 1

289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-6711

Other practice location 2

2900 Daggett Ave
Klamath Falls, OR 97601-7101
Phone (541) 884-1371

Other practice location 3

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121

Other practice location 4

75 Park St
Elizabethtown, NY 12932
Phone (518) 873-6377

Other practice location 5

75 Beekman St
Plattsburgh, NY 12901-1427
Phone (518) 561-2000

Other practice location 6

133 Park St
Malone, NY 12953-1244
Phone (518) 483-3000

Other practice location 7

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4430

Other practice location 8

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

Other practice location 9

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000

Other practice location 10

273 County Rd
New London, NH 03257-5736
Phone (603) 526-2911

Other identifiers 2

IdentifierTypeStateIssuer
30205262MedicaidNH
1011647MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT, NY, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050701000411 NH Practitioner - Diagnostic Radiology 3274579073 Reassigns benefits to 8 organizations
I20061211000041 VT Practitioner - Diagnostic Radiology 3274579073 Reassigns benefits to 4 organizations
I20250702001050 NY Practitioner - Diagnostic Radiology 3274579073 Reassigns benefits to 5 organizations
I20260429000634 OR Practitioner - Diagnostic Radiology 3274579073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

108 Preston Rd
Lyme, NH 03768-3508
Phone (802) 847-0000

130 Fisher Rd
Central Vermont
Barre, VT 05602-8132
Phone (802) 371-4100

289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-6711

2900 Daggett Ave
Klamath Falls, OR 97601-7101
Phone (541) 884-1371

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400568NCMDDiagnostic Radiology Physician
MD226002ORMDDiagnostic Radiology Physician
0420011229VTMDDiagnostic Radiology Physician
2095WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 8, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Mar 23, 2025 Accepting new patients
Alice Peck Day Memorial Hospital Current Accepting new patients
Dartmouth-Hitchcock Clinic Diagnostic Radiology CurrentSince Apr 25, 2024 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Nov 7, 2024 Accepting new patients
Alice Hyde Medical Center CurrentSince Mar 23, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 26, 2022 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Porter Hospital Inc Current Accepting new patients
Porter Hospital, Inc CurrentSince Jul 7, 2025 Accepting new patients
Elizabethtown Community Hospital CurrentSince Mar 23, 2025 Accepting new patients
Elizabethtown Community Hospital CurrentSince Mar 23, 2025 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Jul 20, 2025 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Nov 7, 2024 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 8, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 26, 2022 Accepting new patients
North Country Hospital & Health Center Inc Diagnostic Radiology Past Accepting new patients
Brattleboro Memorial Hospital PastSince Aug 1, 2016 Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients
Green Mountain Radiology Diagnostic Radiology PastSince Jan 25, 2013 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
Sky Lakes Medical Center Inc Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

273 County Rd
New London, NH 03257
Phone (603) 526-5215

90 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-9000

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

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

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

53 Fairview St
Brattleboro, VT 05301
Phone (802) 251-8455

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

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

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Interoperability endpoints

  • Direct secure messaging: jpekala108607@direct.dartmouth-hitchcock.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
  • Direct secure messaging: jpekala106879@direct.uvmhealth.org
  • Direct secure messaging: jpekala586117@direct.froedtert.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1366468951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "address_2": "CVMC",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-371-4133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 County Rd",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "VT",
            "postal_code": "050899000",
            "country_code": "US",
            "telephone_number": "802-674-6711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Daggett Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976017101",
            "country_code": "US",
            "telephone_number": "541-884-1371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Alice Peck Day Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037662900",
            "country_code": "US",
            "telephone_number": "603-448-3121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Park St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NY",
            "postal_code": "12932",
            "country_code": "US",
            "telephone_number": "518-873-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Beekman St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011427",
            "country_code": "US",
            "telephone_number": "518-561-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Park St",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129531244",
            "country_code": "US",
            "telephone_number": "518-483-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Porter Dr",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "VT",
            "postal_code": "057538423",
            "country_code": "US",
            "telephone_number": "802-388-4430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "273 County Rd",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "NH",
            "postal_code": "032575736",
            "country_code": "US",
            "telephone_number": "603-526-2911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEKALA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD226002",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "0420011229",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "12274",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200400568",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "2095",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205262",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011647",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.