Daniel A Chidpungtam, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042-0012286 Issued in VT

Practice address

1 South Prospect Street
Uhc Campus 6TH Floor Psychiatry
Burlington, VT 05401-5505

Phone

(802) 847-4560

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Commonwealth of MassachusettsGroup PAC ID 8820906860, shared by 16 NPIs, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Pocasset, MA
  • NPI 1851477491
  Medicare reassignment NPD
• The Commonwealth of Massachusetts

  • Long Term Care Hospital
  • Tewksbury, MA
  • NPI 1871680496
  Medicare reassignment NPD
• University of Vermont Medical Center Inc

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1508871898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTH PROSPECT STREET",
            "address_2": "UHC CAMPUS 6TH FLOOR PSYCHIATRY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015505",
            "telephone_number": "802-847-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH PROSPECT STREET",
            "address_2": "UHC CAMPUS 6TH FLOOR PSYCHIATRY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015505",
            "telephone_number": "802-847-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDPUNGTAM",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0012286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Herbert Cherouny, M.D.
• Emily N/a Cheruto, PMHNP
• Katharine Lana Cheung, M.D.
• Jamie Ann Chevalier, AU.D.
• Sarah Chiavacci
• Jenny A Chilakos
• Cara L. Chinchar, LCMHC, LADC
• Daniel Chiodo
• Dara Chira, DMD, DARA CHIRA, DMD
• Chiropractic Works Inc.

• Psychiatry Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.