Individual provider Active NPI

Sharif R Nankoe, M.D.

  • Family Medicine Physician
  • Colchester, VT
National Provider Identifier
1780945089
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042.0013596 Issued in VT
Practice address
883 Blakely Rd
Uvm Medical Center - Colchester Family Medicine
Colchester, VT 05446-4417
Phone
(802) 847-2055
Fax
(802) 847-1688
NPI assigned
Jun 4, 2012
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042.0013596 VT Primary

Addresses

Primary practice location

883 Blakely Rd
Uvm Medical Center - Colchester Family Medicine
Colchester, VT 05446-4417

Mailing address

883 Blakely Rd
Uvm Medical Center - Colchester Family Medicine
Colchester, VT 05446-4417
Phone (802) 847-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Mar 5, 2020 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Northwestern Medical Center Inc CurrentSince Mar 5, 2020 Accepting new patients

Locations

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

17 Catherine St
Saint Albans, VT 05478
Phone (802) 524-8809

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1780945089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 BLAKELY RD",
            "address_2": "UVM MEDICAL CENTER - COLCHESTER FAMILY MEDICINE",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464417",
            "telephone_number": "802-847-2055",
            "fax_number": "802-847-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 BLAKELY RD",
            "address_2": "UVM MEDICAL CENTER - COLCHESTER FAMILY MEDICINE",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464417",
            "telephone_number": "802-847-2055",
            "fax_number": "802-847-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANKOE",
        "first_name": "SHARIF",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0013596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.