VITALY E ERMOLIN (MD) – Internal Medicine Physician, NPI 1114901485

VITALY E ERMOLIN (MD) is a healthcare provider. based in Norwell, Massachusetts. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 246085 (MA). The NPI Number for VITALY E ERMOLIN (MD) is 1114901485

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
VITALY E ERMOLIN (MD)
NPI
1114901485
Phone
(781) 792-4136
Address
141 LONGWATER DR STE 201
Enumeration Date
1 December 2005
Last Update Date
4 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817924136
Graduation Year
1997 (29 years ago)
PAC ID
6901894500
Group Practice PAC ID
7113029257
Professional Enrollment ID
I20110301000290
Address ID
MA021902432WE55XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,251 HOSPITALIST in MA

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Provider Addresses for VITALY E ERMOLIN (MD)

  • 141 LONGWATER DR STE 201

    NORWELL, MA 020611620

    Phone: (781) 792-4136

    Fax: (781) 878-6750

    Type: Mailing

  • South Shore Hospital, 55, Fogg Road, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States

    WEYMOUTH, MA 021902432

    Phone: (781) 624-8000

    Fax: (781) 878-6750

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110301000290IHospitalistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes461243$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes244144$0
99239Hospital discharge day management, more than 30 minutes207205$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7776$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6933$0
View full utilization report →

Insurance plans in this area (ZIP 02061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113029257View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyMA
-MA
Physician AssistantMA
General SurgeryNJ
U R O L O G YMA
Internal MedicineME
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YMA
Physician AssistantMA
Emergency MedicineMA

Reviews

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Frequently asked questions

How is VITALY E ERMOLIN (MD) identified in CMS data?
CMS-hosted NPPES data lists VITALY E ERMOLIN (MD) with NPI 1114901485.
Does CMS list VITALY E ERMOLIN (MD) as active?
Yes — VITALY E ERMOLIN (MD) is active in the NPI listing used on this page.
What taxonomy line describes VITALY E ERMOLIN (MD)?
For research purposes, treat VITALY E ERMOLIN (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for VITALY E ERMOLIN (MD)?
VITALY E ERMOLIN (MD)'s geographic hint is Norwell, Massachusetts in our summary view.
Why does VITALY E ERMOLIN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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