NPIMap

Individual provider Active NPI

Susan D. Weinstein, D.O.

  • Internal Medicine Physician
  • South Burlington, VT
National Provider Identifier
1467411769
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
032.0107697 Issued in VT
Practice address
1 Timber Lane
Uvm Medical Center-Adult Primary Care South Burlington
South Burlington, VT 05401
Phone
(802) 847-4714
Fax
(802) 847-6333
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SW015533 MI
Internal Medicine Physician 207R00000X 032.0107697 VT Primary

Addresses

Primary practice location

1 Timber Lane
Uvm Medical Center-Adult Primary Care South Burlington
South Burlington, VT 05401

Mailing address

1 Timber Lane
Uvm Medical Center-Adult Primary Care South Burlington
South Burlington, VT 05401
Phone (802) 847-4714

Other identifiers 2

IdentifierTypeStateIssuer
P00285525OtherMIRAIL ROAD MEDICARE
0A110280OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428000875 VT Practitioner - Internal Medicine 3476501784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SW015533MIMDInternal Medicine Physician
032.0107697VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Internal Medicine CurrentSince Mar 23, 2015 Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients
Niles Professional Services, Inc Internal Medicine Past Accepting new patients
Lakeside Healthcare Specialists PLLC Internal Medicine Past Accepting new patients

Locations

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

1 Timber Ln
South Burlington, VT 05403
Phone (802) 658-4714

Interoperability endpoints

  • Direct secure messaging: sweinstein128872@direct.uvmhealth.org

Organizations & group practices 4

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 8

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1467411769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIMBER LANE",
            "address_2": "UVM MEDICAL CENTER-ADULT PRIMARY CARE SOUTH BURLINGTON",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-847-4714",
            "fax_number": "802-847-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIMBER LANE",
            "address_2": "UVM MEDICAL CENTER-ADULT PRIMARY CARE SOUTH BURLINGTON",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-847-4714",
            "fax_number": "802-847-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "SUSAN",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SW015533",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "032.0107697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00285525",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0A110280",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.