Sandra E Kapsalis, M.D.

Key facts

NPI

1497743827

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

042-000-9859 (VT)

Practice address

89 Main St
Essex JCT, VT 05452-3207

Phone

(802) 879-6556

Fax

(802) 872-8021

NPI assigned

Oct 10, 2005

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Essex Pediatrics PC Pediatrics Physician · Essex JCT, VT · NPI 1104925817
  Medicare reassignment VT
• University of Vermont Medical Center Inc General Acute Care Hospital · Burlington, VT · NPI 1568419976
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sandra@ep.pcc-direct.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 9, 2023.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1497743827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523207",
            "telephone_number": "802-879-6556",
            "fax_number": "802-872-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523207",
            "telephone_number": "802-879-6556",
            "fax_number": "802-872-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPSALIS",
        "first_name": "SANDRA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-05-09",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042-000-9859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1999",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex JCT, VT

• Jerry Steven Hale, M.D.
• Hillary Holmes, LICSW
• Gary B Irish, O.D.
• J. Scott Thompson, D.M.D., P.C.
• Elizabeth H Jillson, M.D.
• Patricia King, MD
• Penny Kuang, PHARMD
• Chelsea Dawn Laframboise, RPH
• Leclair Therapy, Inc.
• Estelle L Leclair, PT

All providers in Essex JCT, VT · Pediatrics Physician in Vermont