NPIMap

Individual provider Active NPI

Louis Bassett Porter, M.D.

  • Internal Medicine Physician
  • Burlington, VT
National Provider Identifier
1689105652
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042.0014621 Issued in VT
Practice address
Uvmmc 111 Colchester Avenue
Burlington, VT 05401
Phone
(802) 847-2345
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD201292 OR
Internal Medicine Physician 207R00000X 042.0014621 VT Primary

Addresses

Primary practice location

Uvmmc 111 Colchester Avenue
Burlington, VT 05401

Mailing address

255 Quarry Hill Rd Apt 141
South Burlington, VT 05403-6397
Phone (801) 706-7305

Other practice location 1

111 Colchester Ave
Burlington, VT 05401-1473
Phone (716) 753-0521

Other practice location 2

130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 371-4100

Other practice location 3

17 Belmont Ave
Attention Reina Champney
Brattleboro, VT 05301-0530
Phone (802) 257-0341

Other identifiers 1

IdentifierTypeStateIssuer
6703267MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909000763 CO Practitioner - Hospitalist 5193096246 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Pennsylvania State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homedoc, PCGroup PAC ID 2961936927, 43 clinicians

Practice addresses (Care Compare)

2635 N 7TH St
Suite 4205 Grand Junction Hospitalists
Grand Junction, CO 81501-8209
Phone (970) 298-7783

8354 E Northfield Blvd
Suite 329
Denver, CO 80238-3131
Phone (720) 607-9207

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Sep 30, 2021 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Nov 15, 2022 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Internal Medicine CurrentSince Sep 30, 2021 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association Internal Medicine CurrentSince Nov 15, 2022 Accepting new patients
Homedoc, PC Internal Medicine CurrentSince Mar 10, 2026 Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
St. Mary'S Hospital and Medical Center, Inc. Past Accepting new patients

Locations

8354 E Northfield Blvd
#329
Denver, CO 80238
Phone (720) 607-9207

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2635 N 7th St
Ste 4205
Grand Junction, CO 81501
Phone (970) 298-7049

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Organizations & group practices 9

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1689105652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 QUARRY HILL RD APT 141",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036397",
            "telephone_number": "801-706-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UVMMC 111 COLCHESTER AVENUE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-847-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "716-753-0521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Fisher Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029516",
            "country_code": "US",
            "telephone_number": "802-371-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Belmont Ave",
            "address_2": "Attention Reina Champney",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "053010530",
            "country_code": "US",
            "telephone_number": "802-257-0341",
            "fax_number": "802-257-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LOUIS BASSETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD201292",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042.0014621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6703267",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.