COMMUNITY HEALTH CENTERS OF BURLINGTON INC – Family Medicine Physician, NPI 1689678963
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COMMUNITY HEALTH CENTERS OF BURLINGTON INC
368 Dorset St Ste 1
South Burlington, VT 054036236
Phone: (802) 860-7070
Fax: (802) 860-4324
Type: Location
87 Main St
Essex Junction, VT 054523234
Phone: (802) 864-6309
Fax: (802) 860-4324
Type: Location
32 Malletts Bay Ave Ste B
Winooski, VT 054041960
Phone: (802) 655-4422
Fax: (802) 860-4324
Type: Location
179 Pearl St
Burlington, VT 054013704
Phone: (802) 652-1080
Fax: (802) 860-4324
Type: Location
300 Pearl St
Burlington, VT 054018531
Phone: (802) 658-4200
Fax: (802) 658-4201
Type: Location
52 Community Ln
South Hero, VT 054864418
Phone: (802) 372-5132
Fax: (802) 860-4324
Type: Location
84 Pine St Fl 2
Burlington, VT 054014441
Phone: (802) 864-7423
Fax: (833) 857-8969
Type: Location
76 Glen Rd
Burlington, VT 054014131
Phone: (802) 864-7427
Fax: (802) 864-1619
Type: Location
789 Pine St
Burlington, VT 054014924
Phone: (802) 864-0693
Fax: (802) 860-4324
Type: Location
184 S Winooski Ave
Burlington, VT 054014535
Phone: (802) 860-4310
Fax: (802) 860-4324
Type: Location
Riverside Health Center, 617, Riverside Avenue, Old North End, Burlington, Chittenden County, Vermont, 05401, United States
BURLINGTON, VT 054011601
Phone: (802) 264-8193
Fax: (802) 860-4324
Type: Mailing
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: 2004-07-20
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 |
|---|---|---|---|---|
| O20040720000792 | O | Clinic/Group Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05403)
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