Rutland Radiologists, P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RUTLAND RADIOLOGISTS, P.C.

Practice address

160 Allen St
Rutland, VT 05701-4560

Phone

(802) 775-7111

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Daniel Richard Mitchell, M.D.NPI 1194737833

Title

President

Phone

(802) 747-3650

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rutland Radiologists, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Mitchell, M.D.

  • Diagnostic Radiology Physician
  • Rutland, VT
  • NPI 1194737833
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Boyer, MD

  • Diagnostic Radiology Physician
  • Rutland, VT
  • NPI 1487884953
  Medicare reassignment Care Compare group NPD
• Jed Alan Hummel, M.D.

  • Diagnostic Radiology Physician
  • Rutland, VT
  • NPI 1174889182
  Medicare reassignment Care Compare group NPD
• Trent W Shelton, D.O.

  • Diagnostic Radiology Physician
  • Rutland, VT
  • NPI 1407002355
  Medicare reassignment Care Compare group NPD
• James Perry, M.D.

  • Surgery Physician
  • Rutland, VT
  • NPI 1609890037
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1700935780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057020440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014560",
            "telephone_number": "802-775-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLAND RADIOLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-747-3650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005171",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutland Radiologists, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rutland Mental Health Services, Inc.
• Rutland Mental Health Services, Inc.
• Rutland Mental Health Services, Inc.
• Rutland Naturopathic, PLLC
• Rutland Optical Inc
• Rutland Regional Health Services
• Rutland Regional Health Services
• Rutland Skin Center, PC
• Rutland Surgical Associates Inc
• Karen Sabataso, MA

• Diagnostic Radiology Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Diagnostic Radiology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.