Active NPI
Visavis Health Care Medical Group of VT PLLC
- Family Medicine Physician
- Springfield, VT
National Provider Identifier
1497566780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250207001252 | VT | Part B Supplier - Clinic/Group Practice | 4082144910 |
Receives reassigned benefits from 18 practitioners Practice locations: Springfield, VT |
National Provider Directory
National Provider DirectoryLocations
105 Chester Rd
Springfield, VT 05156
Phone (802) 885-5741
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Albuquerque, NM
- NPI 1093312480
Single Specialty, VT
-
- Psychiatric/Mental Health Nurse Practitioner
- Williamsburg, VA
- NPI 1356990261
VT
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.