GREEN MOUNTAIN INFECTIOUS DISEASE LLC
NPI 1205640604
Internal Medicine - Infectious Disease in Rutland, VT

Active since February 05, 2025
69 ALLEN ST STE 8, RUTLAND, VT 05701(207) 807-4452 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2025, Feb 5, 2025 (2 updates tracked since 2025).

About Green Mountain Infectious Disease Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN MOUNTAIN INFECTIOUS DISEASE LLC (NPI 1205640604) is a healthcare organization registered as an infectious disease in Rutland, Vermont and active in the NPI registry since February 2025. The organization lists John Gavin Cotter, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1205640604
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameGREEN MOUNTAIN INFECTIOUS DISEASE LLC
Location Address69 ALLEN ST STE 8Rutland, VT 05701-4564
Mailing Address69 Allen St Ste 8Rutland, VT 05701-4564 · (207) 807-4452
Organization SubpartNo
Authorized OfficialJohn Gavin CotterProvider/owner · (207) 807-4452
Enumeration DateFebruary 5, 2025
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1205640604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
69 ALLEN ST STE 8, Rutland, VT 05701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Mountain Infectious Disease Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Green Mountain Infectious Disease LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1245331321
69 ALLEN ST STE 8
Rutland, VT 05701
(802) 772-7169
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Green Mountain Infectious Disease LLC's NPI number?

The NPI number for Green Mountain Infectious Disease LLC is 1205640604. It was assigned to this organization in the NPPES registry on February 5, 2025.

Where is Green Mountain Infectious Disease LLC located?

Green Mountain Infectious Disease LLC is located at 69 Allen St Ste 8, Rutland, VT 05701. The listed phone number is (207) 807-4452.

What is Green Mountain Infectious Disease LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Green Mountain Infectious Disease LLC enrolled in Medicare?

Yes. Green Mountain Infectious Disease LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Mountain Infectious Disease LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Green Mountain Infectious Disease LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Green Mountain Infectious Disease LLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.