Active NPI
Adam Patrick Kaftan
- Emergency Medicine Physician
- Bennington, VT
National Provider Identifier
1649731571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 042.0015785
- Practice address
- 100 Hospital Dr
SVMC Emergency Department
Bennington, VT 05201 - Phone
- (402) 515-8127
- NPI assigned
- Mar 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 042.0015785 | VT | Primary |
Addresses
Primary practice location
100 Hospital Dr
SVMC Emergency Department
Bennington, VT 05201
Mailing address
100 Hospital Dr
SVMC Emergency Department
Bennington, VT 05201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240423002435 | WI | Practitioner - Emergency Medicine | 5496080608 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0015785 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette County | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Lafayette County | Current | Accepting new patients | |
| Lafayette County | Current | Accepting new patients | |
| Southwestern Vermont Medical Center, Inc | Past | Accepting new patients |
Locations
800 Clay St
Darlington, WI 53530
Phone (608) 776-4466
211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466
Interoperability endpoints
- akaftan1056472@direct.unitypoint.org
Organizations & group practices 5
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.
-
- Land Ambulance
- Darlington, WI
- NPI 1427648526
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Orthopaedic Surgery Physician
- Bennington, VT
- NPI 1487930632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1649731571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"address_2": "SVMC EMERGENCY DEPARTMENT",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "05201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"address_2": "SVMC EMERGENCY DEPARTMENT",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "05201",
"telephone_number": "402-515-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAFTAN",
"first_name": "ADAM",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "042.0015785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.