NPIMap

Individual provider Active NPI

Stewart P Manchester, MD

  • Family Medicine Physician
  • Saint Albans, VT
National Provider Identifier
1497710826
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0009040 Issued in VT
Practice address
9 Crest Rd
St Albans, VT 05478-9701
Phone
(802) 527-0753
Fax
(802) 524-2695
NPI assigned
Apr 19, 2006
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 042-0009040 VT Primary

Addresses

Primary practice location

9 Crest Rd
St Albans, VT 05478-9701

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7586
Phone (802) 288-1140

Other identifiers 1

IdentifierTypeStateIssuer
OVN1033MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drmanchester@pchpmd.medentdirect.com Direct

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
I20090114000757 VT Practitioner - Family Practice 3971666199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Health Partners - Vermont LLPGroup PAC ID 7810896032, 21 clinicians

Practice addresses (Care Compare)

9 Crest Rd
Saint Albans, VT 05478-9701
Phone (802) 527-0753

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0009040VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Jan 2, 1995 Accepting new patients
Primary Care Health Partners - New York LLP Family Medicine CurrentSince Jul 2, 2023 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Primary Care Health Partners - Vermont LLP Family Medicine CurrentSince Jan 2, 1995 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Jan 2, 1995 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Jan 2, 1995 Accepting new patients
Primary Care Health Partners PastSince Dec 6, 2022 Accepting new patients
Primary Care Health Partners Past Accepting new patients
Primary Care Health Partners Family Medicine PastSince Jan 2, 1995 Accepting new patients

Locations

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

9 Crest Rd
Saint Albans, VT 05478
Phone (802) 527-0753

51 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0521

600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140

66 Knight Ln
Ste 10
Williston, VT 05495
Phone (802) 872-4327

Interoperability endpoints

  • Direct secure messaging: drmanchester@pchpmd.medentdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 12

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1497710826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957586",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CREST RD",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "054789701",
            "telephone_number": "802-527-0753",
            "fax_number": "802-524-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "STEWART",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0009040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1033",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmanchester@pchpmd.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Crest Rd",
            "city": "St Albans",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054789701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.