Active NPI
Kevin Maguire, MD
- Plastic and Reconstructive Surgery Physician
- Colchester, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 042.0013287
- Practice address
- 354 Mountain View Dr., 103
Uvm Medical Center, Surgery/Plastics
Colchester, VT 05446 - Phone
- (802) 847-3340
- Fax
- (802) 847-7083
- NPI assigned
- Sep 20, 2006
- Last updated
- Mar 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 9401 | RI | |
| Plastic Surgery Physician | 208200000X | 036291 | CT | |
| Plastic Surgery Physician | 208200000X | 75409 | MA | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 9401 | RI | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 036291 | CT | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 9401 | RI | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 036291 | CT | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 042.0013287 | VT | Primary |
Addresses
Primary practice location
354 Mountain View Dr., 103
Uvm Medical Center, Surgery/Plastics
Colchester, VT 05446
Mailing address
354 Mountain View Dr., 103
Uvm Medical Center, Surgery/Plastics
Colchester, VT 05446
Phone (802) 847-3340
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RI0846 | Other | RI | HEALTHNET-NONPAR ID # |
| 010036291CT01 | Other | CT | ANTHEM OF CT FEDERAL ID # |
| 010075409RI01 | Other | CT | ANTHEM BC OF CT ID # |
| 401029 | Other | RI | BCBCHIP OF RI ID # |
| 061485169 | Other | TAX IDENTIFICATION NUMBER | |
| 20437-6 | Other | RI | BCBS OF RI ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Plastic and Reconstructive Surgery
- Education
- University of Massachusetts Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Washington St
Suite 520
Norwich, CT 06360-2700
Phone (860) 889-3841
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036291 | CT | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients |
Locations
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
330 Washington St
Ste 520
Norwich, CT 06360
Phone (860) 886-1949
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- kevin.maguire@xdr.hhchealthdirect.org
Organizations & group practices 2
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Plastic and Reconstructive Surgery
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1750488839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 MOUNTAIN VIEW DR., 103",
"address_2": "UVM MEDICAL CENTER, SURGERY/PLASTICS",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "05446",
"telephone_number": "802-847-3340",
"fax_number": "802-847-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 MOUNTAIN VIEW DR., 103",
"address_2": "UVM MEDICAL CENTER, SURGERY/PLASTICS",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "05446",
"telephone_number": "802-847-3340",
"fax_number": "802-847-7083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGUIRE",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "RI",
"license": "9401",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CT",
"license": "036291",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "75409",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "RI",
"license": "9401",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "CT",
"license": "036291",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "RI",
"license": "9401",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CT",
"license": "036291",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "VT",
"license": "042.0013287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET-NONPAR ID #",
"identifier": "RI0846",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM OF CT FEDERAL ID #",
"identifier": "010036291CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC OF CT ID #",
"identifier": "010075409RI01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBCHIP OF RI ID #",
"identifier": "401029",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "061485169",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI ID #",
"identifier": "20437-6",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.