NPIMap

Individual provider Active NPI

Leila Khorashadi, M.D.

  • Diagnostic Radiology Physician
  • Burlington, VT
National Provider Identifier
1871781716
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
042.0017072 Issued in VT
Practice address
111 Colchester Ave
Burlington, VT 05401-1473
Phone
(802) 847-0000
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 234103 MA
Diagnostic Radiology Physician 2085R0202X 042.0017072 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Burlington, VT 05401-1473

Mailing address

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

Other practice location 1

330 Mount Auburn St
Mount Auburn Hospital
Cambridge, MA 02138-5502
Phone (617) 499-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100720000588 MA Practitioner - Diagnostic Radiology 2466505102 Reassigns benefits to 3 organizations
I20230627002311 VT Practitioner - Diagnostic Radiology 2466505102 Reassigns benefits to 4 organizations
I20250610000515 NY Practitioner - Diagnostic Radiology 2466505102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Geisel School of Medicine at Dartmouth, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter Hospital IncGroup PAC ID 1850365180, shared by 5 NPIs, 116 clinicians
Alice Hyde Medical CenterGroup PAC ID 4082525837, 88 clinicians
Elizabethtown Community HospitalGroup PAC ID 3577554138, 62 clinicians

Practice addresses (Care Compare)

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

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701

133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

82 Catamount Park
Middlebury, VT 05753-1292
Phone (802) 388-7185

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234103MAMDDiagnostic Radiology Physician
042.0017072VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
Porter Hospital Inc Current Accepting new patients
Schatzki Associates Inc. Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince May 23, 2025 Accepting new patients
Porter Hospital, Inc CurrentSince Mar 15, 2024 Accepting new patients
Massachusetts Institute of Technology CurrentSince Aug 15, 2011 Accepting new patients
President & Fellows of Harvard College CurrentSince Jan 1, 2019 Accepting new patients
Elizabethtown Community Hospital CurrentSince May 23, 2025 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jun 7, 2023 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Mar 15, 2024 Accepting new patients
President and Fellows of Harvard College CurrentSince Jan 1, 2019 Accepting new patients
Alice Hyde Medical Center CurrentSince May 23, 2025 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

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

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

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

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

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: lkhorashadi541696@direct.uvmhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1871781716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Mount Auburn St",
            "address_2": "Mount Auburn Hospital",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021385502",
            "country_code": "US",
            "telephone_number": "617-499-5070",
            "fax_number": "617-499-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHORASHADI",
        "first_name": "LEILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "234103",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042.0017072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.