DR. KENNETH R HALLOWS PHD,MD
NPI 1043283997
Internal Medicine - Nephrology in Burlington, VT
About Dr. Kenneth R Hallows Phd,md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH R HALLOWS PHD,MD (NPI 1043283997) is an individual nephrology provider in Burlington, Vermont, licensed in Vermont (042.0018519) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kenneth R Hallows Phd,md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Hallows reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Central Vermont Medical Center
Acute Care Hospitals · Barre, VTUniv. Of Vermont - Fletcher Allen Health Care
Acute Care Hospitals · Burlington, VTNorthwestern Medical Center Inc
Acute Care Hospitals · Saint Albans, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Hallows's NPI number?
The NPI number for Kenneth Hallows is 1043283997. It was assigned to this individual provider in the NPPES registry on February 10, 2006.
Where is Kenneth Hallows located?
Kenneth Hallows practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-0000.
What is Kenneth Hallows's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Kenneth Hallows enrolled in Medicare?
Yes. Kenneth Hallows is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenneth Hallows's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Hallows reassigns Medicare benefits to 3 organizations: University Of Vermont Medical Center Inc (Burlington, VT), Usc Care Medical Group, Inc (Los Angeles, CA) and Usc Care Medical Non-Contracted LLC (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Hallows's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Hallows accept?
Health plans from Anthem Blue Cross and Blue Shield list Kenneth Hallows as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kenneth Hallows affiliated with any hospitals?
According to CMS data, Kenneth Hallows is affiliated with Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care and Northwestern Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Kenneth Hallows was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kenneth R Hallows, PHD,MD · NPI 1043283997
Nephrology physician in Burlington, Vermont. Individual provider, active in the CMS NPPES registry since February 10, 2006.
## Identity
- **NPI:** 1043283997 (Entity type: Individual)
- **Enumerated:** February 10, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 042.0018519 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 COLCHESTER AVE, Burlington, VT 05401-1473
- **Phone:** (802) 847-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Vermont Medical Center Inc (NPI 1659309615, Burlington, VT); Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA); Usc Care Medical Non-Contracted LLC (NPI 1659509206, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Rochester School Of Medicine And Dentistry, class of 1995
## Record status
- **NPPES last updated:** May 5, 2025
- **Other identifiers:** Medicaid 001861031 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1043283997) · Data from the CMS NPPES public registry.