Individual provider Active NPI

Catherine Murer Antley, MD

  • Dermatopathology (Pathology) Physician
  • South Burlington, VT
National Provider Identifier
1972682128
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
0429794 Issued in VT
Practice address
30 Farrell St
Suite 202
South Burlington, VT 05403-6112
Phone
(802) 658-6269
Fax
(802) 860-4642
NPI assigned
Nov 6, 2006
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 0429794 VT Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0429794 VT

Addresses

Primary practice location

30 Farrell St
Suite 202
South Burlington, VT 05403-6112

Mailing address

885 S Prospect St
Burlington, VT 05401-6168
Phone (802) 861-6240

Other identifiers 1

IdentifierTypeStateIssuer
OVN1891MedicaidVT

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
I20040817000030 VT Practitioner - Pathology 0244203453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of North Carolina at Chapel Hill School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DTGC, PCGroup PAC ID 6507839727, 2 clinicians

Practice addresses (Care Compare)

30 Farrell St
Suite 202
South Burlington, VT 05403-6395
Phone (802) 658-6269

Merit-based Incentive Payment System (MIPS)

Final score
66.67 of 100Reported as individual
Quality
33.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0429794VTMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DTGC, PC Dermatopathology CurrentSince Dec 16, 1998 Accepting new patients

Locations

30 Farrell St
Ste 202
South Burlington, VT 05403
Phone (802) 658-6269

Organizations & group practices 1

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1972682128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 S PROSPECT ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054016168",
            "telephone_number": "802-861-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FARRELL ST",
            "address_2": "SUITE 202",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036112",
            "telephone_number": "802-658-6269",
            "fax_number": "802-860-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTLEY",
        "first_name": "CATHERINE",
        "middle_name": "MURER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "VT",
            "license": "0429794",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VT",
            "license": "0429794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1891",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.