Active NPI
Pete Hunter Spitellie, M.D.
- Anesthesiology Physician
- South Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 042.0013083
- Practice address
- 1 Sebring Rd
South Burlington, VT 05403-7836 - Phone
- (541) 326-8457
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD27674 | OR | |
| Ophthalmology Physician | 207W00000X | 042.0013083 | VT | |
| Anesthesiology Physician | 207L00000X | 042.0013083 | VT | Primary |
Addresses
Primary practice location
1 Sebring Rd
South Burlington, VT 05403-7836
Mailing address
1 Sebring Rd
South Burlington, VT 05403-7836
Phone (541) 326-8457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274488 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Washington School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
593 Hercules Dr
Colchester, VT 05446-5993
Phone (802) 373-5266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0013083 | VT | MD | Anesthesiology Physician |
| MD27674 | OR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Vermont PLC | Anesthesiology | Current | Accepting new patients |
| Ophthalmic Consultants of Vermont PC | Current | Accepting new patients | |
| Medical Eye Center Optical Inc | Past | Accepting new patients |
Locations
593 Hercules Dr
Colchester, VT 05446
Phone (802) 373-5266
1100 Hinesburg Rd
#101
South Burlington, VT 05403
Phone (802) 862-1801
55 Timber Ln
South Burlington, VT 05403
Phone (802) 863-6748
Organizations & group practices 4
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
-
- Ophthalmologic Surgery Clinic/Center
- South Burlington, VT
- NPI 1255416053
-
- Eyewear Supplier
- Grants Pass, OR
- NPI 1629242938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1699965509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SEBRING RD",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037836",
"telephone_number": "541-326-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SEBRING RD",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037836",
"telephone_number": "541-326-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITELLIE",
"first_name": "PETE",
"middle_name": "HUNTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OR",
"license": "MD27674",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VT",
"license": "042.0013083",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VT",
"license": "042.0013083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274488",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.