Individual provider Active NPI

Carley Barbara Vuillermin, MBBS

  • Orthopaedic Surgery Physician
  • Boston, MA
National Provider Identifier
1689920043
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
253009 Issued in MA
Practice address
300 Longwood Ave
Orthopedic Surgery Department, Hunnewell Building 221
Boston, MA 02115-5724
Phone
(857) 218-4924
Fax
(617) 730-0465
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 253009 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Orthopedic Surgery Department, Hunnewell Building 221
Boston, MA 02115-5724

Mailing address

300 Longwood Ave
Orthopedic Surgery Department, Hunnewell Building 221
Boston, MA 02115-5724
Phone (857) 218-4924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140722002510 MA Practitioner - Orthopedic Surgery 8022234327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children's Orthopaedic Surgery Foundation IncGroup PAC ID 2365424876, 26 clinicians

Practice addresses (Care Compare)

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253009MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Orthopaedic Surgery Foundation, Inc. Orthopaedic Surgery CurrentSince Feb 1, 2014 Accepting new patients
Childrens Hospital Boston Past Accepting new patients
Boston University Family Medicine, Inc. PastSince Apr 1, 2017 Accepting new patients

Locations

300 Longwood Ave
Bldg 221
Boston, MA 02115
Phone (857) 218-4924

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

Interoperability endpoints

  • Direct secure messaging: cvuillermin27291@direct.bostonchildrens.org

Organizations & group practices 3

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": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1689920043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "ORTHOPEDIC SURGERY DEPARTMENT, HUNNEWELL BUILDING 221",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "857-218-4924",
            "fax_number": "617-730-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "ORTHOPEDIC SURGERY DEPARTMENT, HUNNEWELL BUILDING 221",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "857-218-4924",
            "fax_number": "617-730-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUILLERMIN",
        "first_name": "CARLEY",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "253009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.