Active NPI
F John Gennari, M.D.
- Nephrology Physician
- Burlington, VT
National Provider Identifier
1891705018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 042-0006357
- Practice address
- 1 S Prospect St
2319 Rehab, Uhc Campus, Fletcher Allen Health Care
Burlington, VT 05401-3456 - Phone
- (802) 847-3572
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 042-0006357 | VT | Primary |
Addresses
Primary practice location
1 S Prospect St
2319 Rehab, Uhc Campus, Fletcher Allen Health Care
Burlington, VT 05401-3456
Mailing address
169 Malletts Head Rd
Colchester, VT 05446-6493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00691896 | Medicaid | NY | |
| 0004514 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0006357 | VT | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891705018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MALLETTS HEAD RD",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054466493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S PROSPECT ST",
"address_2": "2319 REHAB, UHC CAMPUS, FLETCHER ALLEN HEALTH CARE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013456",
"telephone_number": "802-847-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENNARI",
"first_name": "F",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VT",
"license": "042-0006357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00691896",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004514",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.