Active NPI
Peter Panagiotis Metrakos, MD, FRCSC, FACS
- Transplant Surgery Physician
- Burlington, VT
National Provider Identifier
1679581300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 0420010480
- Practice address
- 1 S Prospect St
Uhc Campus, Renal/Transplant - 4TH FL
Burlington, VT 05401-3456 - Phone
- (802) 847-4548
- Fax
- (802) 847-3619
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 0420010480 | VT | Primary |
Addresses
Primary practice location
1 S Prospect St
Uhc Campus, Renal/Transplant - 4TH FL
Burlington, VT 05401-3456
Mailing address
Muhs - RVH Site
S10.26, 687 Avenue Des Pins O
Montreal, QUEBEC H3A 1A1
CA
Phone (514) 843-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02425390 | Medicaid | NY | |
| 1009964 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420010480 | VT | MD | Transplant Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Allen Health Care Inc | Past | Accepting new patients | |
| University of Vermont Medical Center Inc | Transplant Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Burlington, VT
- NPI 1619266624
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Transplant Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679581300",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "MUHS - RVH SITE",
"address_2": "S10.26, 687 AVENUE DES PINS O",
"city": "MONTREAL",
"state": "QUEBEC",
"postal_code": "H3A 1A1",
"telephone_number": "514-843-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S PROSPECT ST",
"address_2": "UHC CAMPUS, RENAL/TRANSPLANT - 4TH FL",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013456",
"telephone_number": "802-847-4548",
"fax_number": "802-847-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METRAKOS",
"first_name": "PETER",
"middle_name": "PANAGIOTIS",
"name_prefix": "Dr.",
"credential": "MD, FRCSC, FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "VT",
"license": "0420010480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02425390",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009964",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.