Individual provider Active NPI

Frank Paul Ittleman, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Burlington, VT
National Provider Identifier
1831113703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
042-0006550 Issued in VT
Practice address
111 Colchester Ave
Fletcher 4
Burlington, VT 05401-1473
Phone
(802) 847-4152
Fax
(802) 847-8158
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 042-0006550 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Fletcher 4
Burlington, VT 05401-1473

Mailing address

406 Churchill Rd
Charlotte, VT 05445
Phone (802) 425-2858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080728000268 VT Practitioner - Thoracic Surgery 1052484847 Reassigns benefits to 1 organization
I20141104000582 NY Practitioner - Thoracic Surgery 1052484847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

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

118 Tilley Dr
South Burlington, VT 05403-4450

62 Tilley Dr
South Burlington, VT 05403-4407

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0006550VTMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Jul 11, 2016 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Sep 8, 1980 Accepting new patients

Locations

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

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

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

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

111 Colchester Ave
#4
Burlington, VT 05401
Phone (802) 847-0552

118 Tilley Dr
Ste 102
South Burlington, VT 05403
Phone (802) 847-4600

Interoperability endpoints

  • Direct secure messaging: fittleman3717@direct.uvmhealth.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831113703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CHURCHILL RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "05445",
            "telephone_number": "802-425-2858",
            "fax_number": "802-847-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "FLETCHER 4",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-4152",
            "fax_number": "802-847-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITTLEMAN",
        "first_name": "FRANK",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VT",
            "license": "042-0006550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.