Active NPI
Zail Suzanne Berry, M.D., M.P.H.
- Geriatric Medicine (Internal Medicine) Physician
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 0420009386
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-0000
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 0420009386 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
PO Box 1063
Burlington, VT 05402-1063
Phone (802) 847-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN1422 | Medicaid | VT |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420009386 | VT | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Zail S. Berry, MD,MPH,PLLC | Geriatric Medicine | Past | Accepting new patients |
Locations
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 Timber Ln
South Burlington, VT 05403
Phone (802) 658-4714
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Essex Junction, VT
- NPI 1063629574
Geriatric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1427158989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1063",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054021063",
"telephone_number": "802-847-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "ZAIL",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "VT",
"license": "0420009386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN1422",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.