NPIMap

Organization Active NPI

University of Vermont Medical Center Inc

  • General Acute Care Hospital
  • Burlington, VT
National Provider Identifier
1568419976
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
668 Issued in VT
Legal business name
UNIVERSITY OF VERMONT MEDICAL CENTER INC
Practice address
111 Colchester Ave
Burlington, VT 05401-1473
Phone
(802) 847-0000
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Mr. Richard J Vincent
Title
Interim Chief Financial Officer
Phone
(802) 847-2089

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 668 VT Primary
Rural Acute Care Hospital 282NR1301X

Addresses

Primary practice location

111 Colchester Ave
Burlington, VT 05401-1473

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other identifiers 18

IdentifierTypeStateIssuer
0470003MedicaidRI
10015084OtherCAPITAL DISTRICT PHYS NET
7001274MedicaidMA
8000880MedicaidVT
0306OtherMVP HMO - OP
10025106600MedicaidNE
3053501MedicaidWA
OP47000MedicaidRI
470003OtherBC PROVIDER BILLING ID
0249154MedicaidOH
091785100MedicaidFL
1729540MedicaidLA
4458OtherMVP HMO-IP
001080OtherEMPIRE HMO/POS
00353851MedicaidNY
0470003MedicaidVT
144080000MedicaidME
99470003MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021111000009 VT Part A Provider - Hospital 3779491071 Practice locations: Winooski, VT; Burlington, VT; Williston, VT; South Burlington, VT; Milton, VT; Middlebury, VT; Hinesburg, VT; Essex Junction, VT…

Hospital certification: CCN 470003

Legal name
UNIVERSITY OF VERMONT MEDICAL CENTER INC
Doing business as
UNIVERSITY OF VERMONT MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 1967
Last certification
Mar 11, 2011
Beds
615
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1995 in VT
Enrollment address
111 Colchester Ave
Burlington, VT 54011473
Other Hospital Practice Location
Hospital subgroups
Acute care, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Univ. of Vermont - Fletcher Allen Health CareCCN 470003
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Fletcher Allen Healthcare22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 36

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sivan Cotel Individual Corporate DirectorBoard Member Jan 1, 2019
Deena McCullough Individual Corporate DirectorBoard Member Jan 1, 2024
Joseph Bilodeau Individual Corporate DirectorBoard Member Jan 1, 2024
Kara Odom Walker Individual Corporate DirectorBoard Member Jan 1, 2021
Heidi Melbostad Individual Corporate DirectorBoard Member Jan 1, 2025
Richard J Vincent Individual Corporate Director Jun 2, 2014
W-2 Managing EmployeeExecutive VP for Finance & Cfo Jun 2, 2014
Kevin Chu Individual Corporate DirectorBoard Member Jan 1, 2023
Scott Boardman Individual Corporate DirectorBoard Member Jan 1, 2025
Judy L Peek-Lee Individual Corporate Director Oct 4, 2021
W-2 Managing EmployeeChief Financial Officer Oct 4, 2021
John Newton Evans Individual Corporate DirectorBoard Member Jan 1, 2018
Naomi Lucille Clemmons Individual Corporate DirectorBoard Member Jan 1, 2024
Sarah Harm Individual Corporate DirectorBoard Member Jan 1, 2025
Alyson Richards Individual Corporate DirectorBoard Member Mar 1, 2019
Stephen M Leffler Individual Corporate DirectorPresident Jan 1, 2020
W-2 Managing EmployeePresident and Coo Jan 1, 2020
Edmondo Jovan Robinson Individual Corporate DirectorBoard Member Jan 1, 2024
Dominic Eisinger Individual Corporate DirectorBoard Member Jan 1, 2021
Noma Bennett Anderson Individual Corporate DirectorBoard Member Feb 1, 2021
Weiwei Wang Individual Corporate DirectorBoard Member Jan 1, 2023
Sandra Kibuey Individual Corporate DirectorBoard Member Jan 1, 2024
Richard L Page Individual Corporate DirectorBoard Member Oct 1, 2018
Amy T Vaughan Individual W-2 Managing EmployeeDirector of Revenue Finance & Reimb Jun 11, 2001
Ian Matthew Schmidek Individual Corporate DirectorBoard Member Jan 1, 2024
Joseph F Hagan Individual Corporate DirectorBoard Member Jan 1, 2018
Christine Peters Individual Corporate DirectorBoard Member Jan 1, 2025
Anne W Doremus Individual Corporate DirectorBoard Member Jan 1, 2020
Dragos Banu Individual Corporate DirectorBoard Member Jan 1, 2025
The University of Vermont Health Network Inc. Organization, Burlington, VT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 17, 2014 100%
Operational/Managerial Control Nov 17, 2014
Victoria Z Duley Individual Corporate DirectorBoard Member Jan 1, 2024
Jesse Bridges Individual Corporate DirectorBoard Member Jan 1, 2020
Elizabeth Vicencio Individual Corporate DirectorBoard Member Jan 1, 2022
Mary Alice Stickney Individual Corporate DirectorBoard Member Jan 1, 2023
John James Dwyer Individual Corporate DirectorBoard Member Jan 1, 2020
Kevin J Hart Individual Corporate DirectorBoard Member Jan 1, 2018
Ann P Guillot Individual Corporate DirectorBoard Member Jan 1, 2024
Churchill Hindes Individual Corporate Director Jan 1, 2023
Jane Catton Individual Corporate DirectorBoard Member Jan 1, 2024

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1,272

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,272

Affiliated clinicians 1,617

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,617

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1568419976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF VERMONT MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "802-847-2089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VT",
            "license": "668",
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0470003",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL DISTRICT PHYS NET",
            "identifier": "10015084",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001274",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000880",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HMO - OP",
            "identifier": "0306",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025106600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053501",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP47000",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER BILLING ID",
            "identifier": "470003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249154",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091785100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1729540",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HMO-IP",
            "identifier": "4458",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HMO/POS",
            "identifier": "001080",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353851",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0470003",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144080000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99470003",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.