Active NPI
Robert David Nesbit, MD
- Plastic and Reconstructive Surgery Physician
- Colchester, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 0420011053
- Practice address
- 354 Mountain View Dr
Fahc Plastic Surgery
Colchester, VT 05446 - Phone
- (802) 847-3340
- Fax
- (802) 847-7083
- NPI assigned
- Jan 20, 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 0420011053 | VT | Primary |
Addresses
Primary practice location
354 Mountain View Dr
Fahc Plastic Surgery
Colchester, VT 05446
Mailing address
PO Box 1063
Fahc
Bulington, VT 05402-1063
Phone (802) 847-3340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012110 | Medicaid | VT | |
| 02709662 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Medical College of Georgia School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- 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
354 Mountain View Dr
Suite 103
Colchester, VT 05446-5923
Phone (802) 847-3340
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Pacemaker insertion or repair | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420011053 | VT | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Past | Accepting new patients | |
| Plastic Surgery Specialists PC | Plastic and Reconstructive Surgery | Past | Accepting new patients |
Locations
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- rnesbit4016@direct.uvmhealth.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
-
- Plastic and Reconstructive Surgery Physician
- Phoenixville, PA
- NPI 1164521241
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1891775169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1063",
"address_2": "FAHC",
"city": "BULINGTON",
"state": "VT",
"postal_code": "054021063",
"telephone_number": "802-847-3340",
"fax_number": "802-847-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 MOUNTAIN VIEW DR",
"address_2": "FAHC PLASTIC SURGERY",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "05446",
"telephone_number": "802-847-3340",
"fax_number": "802-847-7083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESBIT",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "VT",
"license": "0420011053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012110",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02709662",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.