NPIMap

Individual provider Active NPI

Karina Perusse, MD

  • Body Imaging Physician
  • Burlington, VT
National Provider Identifier
1699784702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
042-0011173 Issued in VT
Practice address
111 Colchester Ave
Department of Radiology
Burlington, VT 05401-1473
Phone
(802) 847-3592
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 042-0011173 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Department of Radiology
Burlington, VT 05401-1473

Mailing address

105 Crescent Rd
Burlington, VT 05401-4126
Phone (802) 847-3592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061116000206 VT Practitioner - Diagnostic Radiology 9335147800 Reassigns benefits to 7 organizations
I20240618002528 NY Practitioner - Diagnostic Radiology 9335147800 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

231 Baycrest Dr
South Burlington, VT 05403-7720
Phone (802) 847-0000

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255690NYMDAllergy & Immunology Physician
042-0011173VTMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital, Inc CurrentSince Aug 21, 2023 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince May 12, 2024 Accepting new patients
Elizabethtown Community Hospital CurrentSince May 12, 2024 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Porter Hospital Inc Current Accepting new patients
Elizabethtown Community Hospital CurrentSince May 12, 2024 Accepting new patients
University of Vermont Medical Center Inc Body Imaging CurrentSince Aug 4, 2006 Accepting new patients
Alice Hyde Medical Center CurrentSince May 12, 2024 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Mar 27, 2024 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: kperusse10749@direct.uvmhealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699784702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CRESCENT RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014126",
            "telephone_number": "802-847-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUSSE",
        "first_name": "KARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VT",
            "license": "042-0011173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.