Active NPI
Esther Caballero-Manrique
- Pain Medicine (Anesthesiology) Physician
- Williston, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 042.0013948
- Practice address
- 277 Blair Park Rd Ste 110
Williston, VT 05495-7885 - Phone
- (541) 726-1324
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Colchester, VT
- NPI 1982349254
Anesthesiology, VT
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Anesthesiology, NY
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
VT
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
- Community/Retail Pharmacy
- Plattsburgh, NY
- NPI 1124481700
-
- Skilled Nursing Facility
- Plattsburgh, NY
- NPI 1215098876
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Plattsburgh, NY
- NPI 1487785382
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Rochester School of Medicine and Dentistry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Associates of Vermont PLCChamplain Valley Physicians Hospital Medical Center
Practice addresses (Care Compare)
593 Hercules Dr
Colchester, VT 05446-5993
Phone (802) 373-5266
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Hospital & facility affiliations
- The University of Vermont Health Network - Champl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180306002200 | VT | Practitioner - Pain Management | 7214238955 | Reassigns benefits to 2 organizations |
| I20190926001903 | NY | Practitioner - Anesthesiology | 7214238955 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298177 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Vermont PLC | Anesthesiology | Current | Accepting new patients |
| Champlain Valley Physicians Hospital Medical Center | Anesthesiology | Current | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
206 Cornelia St
Ste 202
Plattsburgh, NY 12901
Phone (518) 314-3511
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
593 Hercules Dr
Colchester, VT 05446
Phone (802) 373-5266
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 042.0013948 | VT | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 298177 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 042.0013948 | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
277 Blair Park Rd Ste 110
Williston, VT 05495-7885
Mailing address
277 Blair Park Rd Ste 110
Williston, VT 05495-7885
Phone (541) 726-1324
Other practice location 1
130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 371-4329
Other practice location 2
111 Colchester Ave
Pain Medicine Fellowship Coordinator, Fletcher Allen HC
Burlington, VT 05401
Phone (802) 847-2700
Other practice location 3
206 Cornelia St Ste 202
Plattsburgh, NY 12901-2779
Phone (518) 562-7590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2021.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1699017442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 BLAIR PARK RD STE 110",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957885",
"telephone_number": "541-726-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 BLAIR PARK RD STE 110",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957885",
"telephone_number": "541-726-1324"
}
],
"practiceLocations": [
{
"address_1": "130 Fisher Rd",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056029516",
"country_code": "US",
"telephone_number": "802-371-4329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave",
"address_2": "Pain Medicine Fellowship Coordinator, Fletcher Allen HC",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "05401",
"country_code": "US",
"telephone_number": "802-847-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 Cornelia St Ste 202",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129012779",
"country_code": "US",
"telephone_number": "518-562-7590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABALLERO-MANRIQUE",
"first_name": "ESTHER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VT",
"license": "042.0013948",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "298177",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VT",
"license": "042.0013948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.