MIRABELLE B SAJISEVI (M.D.) – Otolaryngology Physician, NPI 1215229968
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24 OTOLARYNGOLOGY in VT
Provider Addresses for MIRABELLE B SAJISEVI (M.D.)
111 COLCHESTER AVENUE
BURLINGTON, VT 05401
Phone: (802) 847-4537
Type: Mailing
111 COLCHESTER AVE
BURLINGTON, VT 054011473
Phone: (802) 847-4537
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: 2018-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180110002748 | I | Otolaryngology | VT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 88 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 82 | 66 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 62 | 44 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 49 | 42 | $0 |
Insurance plans in this area (ZIP 05401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| Nurse Practitioner | MA | |
| - | VT | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | VT | |
| - | VT | |
| - | CT | |
| - | VT | |
| - | IN | |
| - | VT |
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