Individual provider Active NPI

Kevin Maguire, MD

  • Plastic and Reconstructive Surgery Physician
  • Colchester, VT
National Provider Identifier
1750488839
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
042.0013287 Issued in VT
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RI0846OtherRIHEALTHNET-NONPAR ID #
010036291CT01OtherCTANTHEM OF CT FEDERAL ID #
010075409RI01OtherCTANTHEM BC OF CT ID #
401029OtherRIBCBCHIP OF RI ID #
061485169OtherTAX IDENTIFICATION NUMBER
20437-6OtherRIBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000342 CT Practitioner - Plastic and Reconstructive Surgery 7618863242 Reassigns benefits to 1 organization

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
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

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 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036291CTMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Plastic and Reconstructive Surgery CurrentSince Aug 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.