Individual provider Active NPI

Adam Patrick Kaftan

  • Emergency Medicine Physician
  • Bennington, VT
National Provider Identifier
1649731571
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
042.0015785 Issued in VT
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

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
042.0015785VTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette County CurrentSince Mar 1, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Lafayette County Current Accepting new patients
Lafayette County CurrentSince Mar 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.