NPIMap

Individual provider Active NPI

Peter Hogenkamp, MD

  • Family Medicine Physician
  • Rutland, VT
National Provider Identifier
1922036490
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420009516 Issued in VT
Practice address
10 Commons St
Rutland, VT 05701-4651
Phone
(802) 747-3359
Fax
(802) 786-5204
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 0420009516 VT Primary

Addresses

Primary practice location

10 Commons St
Rutland, VT 05701-4651

Mailing address

10 Commons St
Rutland, VT 05701-4651
Phone (802) 747-3359

Other identifiers 1

IdentifierTypeStateIssuer
0VN1657MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070308000212 VT Practitioner - Family Practice 7113836289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS Peter and Lisa Hogenkamp PCGroup PAC ID 3678675766, 6 clinicians

Practice addresses (Care Compare)

10 Commons St
Rutland, VT 05701-4651
Phone (802) 747-3359

Hospital & facility affiliations

  • Vna & Hospice of the Southwest Region, Inc. Home health agency, Rutland, VT, CCN 477007
  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Vna & Hospice of Southwest Region, Inc. Hospice, Rutland, VT, CCN 471507
  • Bayada Hospice Hospice, Rutland, VT, CCN 471510
  • Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420009516VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutland Hospital, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Rutland Hospital, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Rutland Hospital, Inc Current Accepting new patients
DRS Peter and Lisa Hogenkamp PC Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Mid Vermont Pathology PC Current Accepting new patients
Vermont Physicians Clinic Family Medicine PastSince Oct 1, 1999 Accepting new patients
University of Vermont Medical Center Inc Family Medicine Past Accepting new patients

Locations

160 Allen St
Fl 3
Rutland, VT 05701
Phone (802) 747-6239

160 Allen St
Rutland, VT 05701

10 Commons St
Rutland, VT 05701
Phone (802) 432-8445

Interoperability endpoints

  • Direct secure messaging: phogenkamp@drshogenkamp.medentdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/

Organizations & group practices 7

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922036490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMMONS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014651",
            "telephone_number": "802-747-3359",
            "fax_number": "802-786-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COMMONS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014651",
            "telephone_number": "802-747-3359",
            "fax_number": "802-786-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGENKAMP",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420009516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1657",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.