Individual provider Active NPI

Paul Rogers, M

  • Family Medicine Physician
  • Johnson, VT
National Provider Identifier
1851335269
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420006199 Issued in VT
Practice address
224 Railroad St
Johnson, VT 05656-9103
Phone
(802) 635-7325
NPI assigned
Jun 15, 2006
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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 0420006199 VT Primary

Addresses

Primary practice location

224 Railroad St
Johnson, VT 05656-9103

Mailing address

224 Railroad St
Johnson, VT 05656-9103
Phone (802) 635-7325

Other identifiers 1

IdentifierTypeStateIssuer
0005277MedicaidVT

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050111000826 VT Practitioner - Family Practice 9234187717 Receives reassigned benefits from 2 practitioners
Practice locations: Johnson, VT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420006199VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Rogers MD PastSince Jan 1, 1990 Accepting new patients
Paul Rogers MD PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, 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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1851335269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 RAILROAD ST",
            "city": "JOHNSON",
            "state": "VT",
            "postal_code": "056569103",
            "telephone_number": "802-635-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 RAILROAD ST",
            "city": "JOHNSON",
            "state": "VT",
            "postal_code": "056569103",
            "telephone_number": "802-635-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420006199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005277",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson, VT

Sources for this page

Verify at the official NPI Registry.