Jacek Mysior, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

042.0015577 Issued in VT

Practice address

875 Roosevelt Hwy Ste 132
Colchester, VT 05446-4460

Phone

(802) 864-7483

Fax

(802) 660-4337

NPI assigned

Oct 4, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associates in Gastroenterology, PLLC

  • Gastroenterology Physician
  • Colchester, VT
  • NPI 1346496783

  Gastroenterology, VT

  Medicare reassignment Care Compare group NPD
• Associates in Gastroenterology, PC

  • Gastroenterology Physician
  • Burlington, VT
  • NPI 1417065178

  Gastroenterology

  NPD (past)

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

• University of Vermont Medical Center Inc

  • General Acute Care Hospital
  • Burlington, VT
  • NPI 1568419976

  Hospital

  Care Compare affiliation

Specialty

Gastroenterology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Gastroenterology, PLLC 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

Procedures performed for Medicare patients

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1811206246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY STE 132",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464460",
            "telephone_number": "802-864-7483",
            "fax_number": "802-660-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY STE 132",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464460",
            "telephone_number": "802-864-7483",
            "fax_number": "802-660-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSIOR",
        "first_name": "JACEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AK",
            "license": "117168",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VT",
            "license": "042.0015577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Ann Murdock, PT, DPT
• Catherine Murphy, PHARMD
• Erin Lee Murphy, MS, CCC-SLP
• Christine Adrienne Murray, M.D.
• Britni D Myers, PT, DPT
• Cherrie Namy, LCMHC
• Sharif R Nankoe, M.D.
• Robert J Narucki, M.A., CP
• Olivia Nemier, PA-C
• Karen Nepveu, M.D.

• All providers in Colchester, VT
• Gastroenterology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.

Verify at the official NPI Registry.