NPIMap

Organization Active NPI

Visavis Health Care Medical Group of VT PLLC

  • Family Medicine Physician
  • Springfield, VT
National Provider Identifier
1497566780
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VISAVIS HEALTH CARE MEDICAL GROUP OF VT PLLC
Practice address
105 Chester Rd
Springfield, VT 05156-2106
Phone
(877) 210-2373
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Irina Yuffa
Title
VP Patient Care Services and Succes
Phone
(973) 564-1057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

105 Chester Rd
Springfield, VT 05156-2106

Mailing address

1481 McDonald Ave
Brooklyn, NY 11230-4667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250207001252 VT Part B Supplier - Clinic/Group Practice 4082144910 Receives reassigned benefits from 18 practitioners
Practice locations: Springfield, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1497566780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHESTER RD",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562106",
            "telephone_number": "877-210-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISAVIS HEALTH CARE MEDICAL GROUP OF VT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "YUFFA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "VP PATIENT CARE SERVICES AND SUCCES",
        "authorized_official_telephone_number": "973-564-1057"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.