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GRIGORIY ANDROSOV
NPI 1265135859
Student in an Organized Health Care Education/Training Program in Burlington, VT

Active since March 23, 2023PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2345 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grigoriy Androsov NPPES

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

GRIGORIY ANDROSOV (NPI 1265135859) is an individual student in an organized health care education/training program in Burlington, Vermont and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265135859
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRIGORIY ANDROSOV
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-2345
Phone(802) 847-2345
Sole ProprietorNo
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
✔ NPI 1265135859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 COLCHESTER AVE, Burlington, VT 05401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grigoriy Androsov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
RICHARD BOHLING CAROZZA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-4589
ANDREW HUY NGUYEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Registered Nurse (Medical-Surgical)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000

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 Grigoriy Androsov's NPI number?

The NPI number for Grigoriy Androsov is 1265135859. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Grigoriy Androsov located?

Grigoriy Androsov practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-2345.

What is Grigoriy Androsov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grigoriy Androsov enrolled in Medicare?

Yes. Grigoriy Androsov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grigoriy Androsov was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.