Individual provider Active NPI

Arturo Guajardo, MD

  • Family Medicine Physician
  • Berlin, VT
National Provider Identifier
1376564153
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0015003 Issued in VT
Practice address
130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone
(802) 225-7103
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L8066 TX
Family Medicine Physician 207Q00000X 042-0015003 VT Primary

Addresses

Primary practice location

130 Fisher Rd Unit 1
Berlin, VT 05602-8132

Mailing address

3800 S WS Young
Suite 103
Killeen, TX 76542-3312
Phone (254) 415-7698

Other practice location 1

28 Centre Dr
Milton, VT 05468-3104
Phone (802) 847-4322

Other practice location 2

3800 S WS Young
Suite 103
Killeen, TX 76542-3312
Phone (254) 415-7598

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
I20210121002135 VT Practitioner - Family Practice 4183600620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Vermont Medical Center IncGroup PAC ID 3779491071, 1,208 clinicians
Central Vermont Medical Center IncGroup PAC ID 9335138817, shared by 4 NPIs, 233 clinicians

Practice addresses (Care Compare)

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

130 Fisher Rd
Barre, VT 05641-9004
Phone (802) 371-4235

130 Fisher Rd
Mob a
Berlin, VT 05602-9516
Phone (802) 225-7000

Hospital & facility affiliations

  • Central Vermont Home Health & Hospice Home health agency, Barre, VT, CCN 477003
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Barre Gardens Nursing and Rehab, LLC Nursing home, Barre, VT, CCN 475037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0015003VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Family Medicine CurrentSince Dec 13, 2020 Accepting new patients
University of Vermont Medical Center Inc Family Medicine CurrentSince Dec 13, 2020 Accepting new patients
Central Vermont Medical Center Inc Family Medicine CurrentSince Dec 13, 2020 Accepting new patients
Gerardo Ramos MD PA Family Medicine Past Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients

Locations

130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235

77 Vine St
Barre, VT 05641
Phone (802) 225-1266

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

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

130 Fisher Rd
Unit 1
Berlin, VT 05602
Phone (802) 225-1743

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

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

28 Centre Dr
Milton, VT 05468
Phone (802) 847-4322

Interoperability endpoints

  • Direct secure messaging: aguajardo379029@direct.uvmhealth.org

Organizations & group practices 5

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 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1376564153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S WS YOUNG",
            "address_2": "SUITE 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423312",
            "telephone_number": "254-415-7698",
            "fax_number": "254-415-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD UNIT 1",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056028132",
            "telephone_number": "802-225-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "VT",
            "postal_code": "054683104",
            "country_code": "US",
            "telephone_number": "802-847-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S WS Young",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765423312",
            "country_code": "US",
            "telephone_number": "254-415-7598",
            "fax_number": "254-415-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "ARTURO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8066",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0015003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.