NPIMap

Individual provider Active NPI

Michael P. Bazylewicz, M.D.

  • Neuroradiology Physician
  • Burlington, VT
National Provider Identifier
1760707236
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
042.0013440 Issued in VT
Practice address
111 Colchester Ave
Uvm Medical Center - Dept. of Radiology
Burlington, VT 05401-1473
Phone
(802) 847-3593
Fax
(802) 847-4822
NPI assigned
Mar 28, 2010
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 042.0013440 VT Primary
Diagnostic Radiology Physician 2085R0202X 2015-00157 NC
Diagnostic Radiology Physician 2085R0202X 38000 SC
Diagnostic Radiology Physician 2085R0202X 72630 GA
Diagnostic Radiology Physician 2085R0202X ME154739 FL

Addresses

Primary practice location

111 Colchester Ave
Uvm Medical Center - Dept. of Radiology
Burlington, VT 05401-1473

Mailing address

111 Colchester Ave
Uvm Medical Center - Dept. of Radiology
Burlington, VT 05401-1473
Phone (802) 847-3593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, FL, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160908000042 VT Practitioner - Diagnostic Radiology 5395065924 Reassigns benefits to 10 organizations
I20220426003128 FL Practitioner - Diagnostic Radiology 5395065924 Reassigns benefits to 3 organizations
I20231204001299 NY Practitioner - Diagnostic Radiology 5395065924 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Geisel School of Medicine at Dartmouth, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Porter Hospital IncGroup PAC ID 1850365180, shared by 5 NPIs, 116 clinicians
Alice Hyde Medical CenterGroup PAC ID 4082525837, shared by 4 NPIs, 88 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Elizabethtown Community HospitalGroup PAC ID 3577554138, shared by 3 NPIs, 62 clinicians

Practice addresses (Care Compare)

Shelburne, VT 05482
Phone (800) 737-5654

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701

133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545

1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440

1551 Future Way
Adventhealth Imaging
Celebration, FL 34747-4489
Phone (407) 303-4041

1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738

2200 Fowler Grove Blvd
Suite 60
Winter Garden, FL 34787-5597
Phone (407) 200-0538

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

2488 E Irlo Bronson Memorial Hwy
Ahi Partin Settlement
Kissimmee, FL 34744-4948
Phone (407) 200-5440

332 Ridgefield Rd
Shelburne, VT 05482-6310
Phone (407) 200-2355

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME154739FLMDDiagnostic Radiology Physician
72630GAMDDiagnostic Radiology Physician
2015-00157NCMDDiagnostic Radiology Physician
38000SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Dec 3, 2024 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC CurrentSince May 2, 2022 Accepting new patients
Elizabethtown Community Hospital CurrentSince Dec 3, 2024 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince May 2, 2022 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Oct 23, 2023 Accepting new patients
Porter Hospital, Inc CurrentSince Oct 23, 2023 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Apr 15, 2025 Accepting new patients
Alice Hyde Medical Center CurrentSince Oct 23, 2023 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jul 14, 2016 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Neuroradiology CurrentSince May 2, 2022 Accepting new patients
Porter Hospital Inc Current Accepting new patients
Elizabethtown Community Hospital Current Accepting new patients
Associates in Radiology of Plattsburgh Ny PC Diagnostic Radiology PastSince Dec 3, 2024 Accepting new patients

Locations

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

101 Adirondack Dr
Ste 1
Ticonderoga, NY 12883
Phone (518) 585-2831

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: mbazylewicz137537@direct.uvmhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1760707236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "UVM MEDICAL CENTER - DEPT. OF RADIOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-3593",
            "fax_number": "802-847-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "UVM MEDICAL CENTER - DEPT. OF RADIOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-3593",
            "fax_number": "802-847-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZYLEWICZ",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-28",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VT",
            "license": "042.0013440",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2015-00157",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "38000",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "72630",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME154739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.