Individual provider Active NPI

Pete Hunter Spitellie, M.D.

  • Anesthesiology Physician
  • South Burlington, VT
National Provider Identifier
1699965509
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
042.0013083 Issued in VT
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

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
274488MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150401000292 VT Practitioner - AnesthesiologyPractitioner - Ophthalmology 5597851089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Ophthalmology
Education
University of Washington School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Vermont PLCGroup PAC ID 4385028661, 10 clinicians

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

LicenseStateTypeSpecialty
042.0013083VTMDAnesthesiology Physician
MD27674ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Vermont PLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Ophthalmic Consultants of Vermont PC CurrentSince Sep 1, 2015 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.

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

Verify at the official NPI Registry.