Individual provider Active NPI

Katherine M. Nacca, MD

  • Emergency Medicine Physician
  • Burlington, VT
National Provider Identifier
1841519576
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
042.0013235 Issued in VT
Practice address
111 Colchester Ave.
Uvm Medical Center, Surgery/Ed
Burlington, VT 05041
Phone
(802) 847-2434
Fax
(802) 847-4802
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 042.0013235 VT Primary
Emergency Medicine Physician 207P00000X 265852 NY

Addresses

Primary practice location

111 Colchester Ave.
Uvm Medical Center, Surgery/Ed
Burlington, VT 05041

Mailing address

111 Colchester Ave.
Uvm Medical Center, Surgery/Ed
Burlington, VT 05041
Phone (802) 847-2434

Other identifiers 1

IdentifierTypeStateIssuer
03612806MedicaidNY

Other names 1

  • Dr. Katherine M. Dougher Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address knacca111879@direct.urmc.rochester.edu Direct
Direct Messaging Address knacca111879@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 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
I20130808000071 NY Practitioner - Emergency Medicine 4880836642 Reassigns benefits to 4 organizations
I20150929000515 VT Practitioner - Emergency Medicine 4880836642 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042.0013235VTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Emergency Medicine CurrentSince Aug 5, 2015 Accepting new patients
University of Rochester CurrentSince Feb 20, 2017 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Feb 20, 2017 Accepting new patients
Emergency Associates - University of Rochester CurrentSince Feb 20, 2017 Accepting new patients
Observation Associates of the University of Rochester CurrentSince Feb 20, 2017 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester Urgent Care CurrentSince Feb 20, 2017 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients

Locations

601 Elmwood Ave
#655B
Rochester, NY 14642
Phone (585) 341-3015

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

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

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

Interoperability endpoints

  • Direct secure messaging: knacca111879@direct.urmc.rochester.edu

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1841519576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE.",
            "address_2": "UVM MEDICAL CENTER, SURGERY/ED",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05041",
            "telephone_number": "802-847-2434",
            "fax_number": "802-847-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE.",
            "address_2": "UVM MEDICAL CENTER, SURGERY/ED",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05041",
            "telephone_number": "802-847-2434",
            "fax_number": "802-847-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACCA",
        "first_name": "KATHERINE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "042.0013235",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "265852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03612806",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knacca111879@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knacca111879@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DOUGHER",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.