Active NPI
Austin D Sumner, MD
- Occupational Medicine Physician
- Berlin, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 042.0011549
- Practice address
- 244 Granger Road
Berlin, VT 05602-9516 - Phone
- (802) 225-3942
- Fax
- (802) 225-3959
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 242399 | NY | |
| Emergency Medicine Physician | 207P00000X | 042-0011549 | VT | |
| Internal Medicine Physician | 207R00000X | 042.0011549 | VT | |
| Occupational Medicine Physician | 2083X0100X | 042.0011549 | VT | Primary |
Addresses
Primary practice location
244 Granger Road
Berlin, VT 05602-9516
Mailing address
PO Box 547
Att: CVMC Finance Dept
Barre, VT 05641-0547
Phone (802) 225-3942
Other practice location 1
133 Park St
Malone, NY 12953-1244
Phone (518) 481-2677
Other practice location 2
75 Beekman St
Plattsburgh, NY 12901-1427
Phone (518) 562-7408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018424 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Vermont Medical Center Inc
Practice addresses (Care Compare)
130 Fisher Rd
Barre, VT 05641-9004
Phone (802) 371-4235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0011549 | VT | MD | Emergency Medicine Physician |
| 042.0011549 | VT | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Internal Medicine | Current | Accepting new patients |
| Central Vermont Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| Alice Hyde Medical Center | Internal Medicine | Current | Accepting new patients |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Emergency Medicine | Current | Accepting new patients |
| Northwestern Medical Center, Inc. | Past | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients |
Locations
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
244 Granger Rd
Barre, VT 05641
Phone (802) 225-3942
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Interoperability endpoints
- asumner87469@direct.uvmhealth.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
Internal Medicine
-
- Internal Medicine Physician
- Berlin, VT
- NPI 1831374362
Emergency Medicine
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Emergency Medicine
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1720112659
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704499200000",
"number": "1609923259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"address_2": "ATT: CVMC FINANCE DEPT",
"city": "BARRE",
"state": "VT",
"postal_code": "056410547",
"telephone_number": "802-225-3942",
"fax_number": "802-225-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 GRANGER ROAD",
"city": "BERLIN",
"state": "VT",
"postal_code": "056029516",
"telephone_number": "802-225-3942",
"fax_number": "802-225-3959"
}
],
"practiceLocations": [
{
"address_1": "133 Park St",
"address_purpose": "LOCATION",
"city": "Malone",
"state": "NY",
"postal_code": "129531244",
"country_code": "US",
"telephone_number": "518-481-2677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011427",
"country_code": "US",
"telephone_number": "518-562-7408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMNER",
"first_name": "AUSTIN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "242399",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "042-0011549",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "042.0011549",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "VT",
"license": "042.0011549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018424",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; 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.