Individual provider Active NPI

Lucy Ann Patti, MD

  • Family Medicine Physician
  • Berlin, VT
National Provider Identifier
1386667897
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0008420 Issued in VT
Practice address
246 Granger Rd
Suite 2
Berlin, VT 05602-9516
Phone
(802) 225-5810
Fax
(802) 371-4821
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0008420 VT Primary

Addresses

Primary practice location

246 Granger Rd
Suite 2
Berlin, VT 05602-9516

Mailing address

PO Box 547
Central Vermont Medical Center - Finance Dept
Barre, VT 05641-0547
Phone (802) 225-5810

Other identifiers 2

IdentifierTypeStateIssuer
OVN1464MedicaidVT
SX3973OtherVTMEDICARE LINKED TO CVMC MPG

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
I20041012001249 VT Practitioner - Family Practice 8628038999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Geisel School of Medicine at Dartmouth, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 S Main St
Waterbury, VT 05676-9562
Phone (802) 244-7874

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0008420VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Family Medicine CurrentSince Dec 28, 2005 Accepting new patients

Locations

246 Granger Rd
Ste 2
Barre, VT 05641
Phone (802) 225-5810

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

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

130 S Main St
Waterbury, VT 05676
Phone (802) 244-7874

Interoperability endpoints

  • Direct secure messaging: lpatti55841@direct.uvmhealth.org

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1386667897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-225-5810",
            "fax_number": "802-371-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 GRANGER RD",
            "address_2": "SUITE 2",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-225-5810",
            "fax_number": "802-371-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTI",
        "first_name": "LUCY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0008420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1464",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LINKED TO CVMC MPG",
            "identifier": "SX3973",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.