ANDREW PETTIT MD
NPI 1316740996
Student in an Organized Health Care Education/Training Program in Burlington, VT

Active since March 31, 2025PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2345 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew Pettit Md NPPES

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

ANDREW PETTIT MD (NPI 1316740996) is an individual student in an organized health care education/training program in Burlington, Vermont and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316740996
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW PETTITCredential: MD
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
NPI 1316740996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrew Pettit Md 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.

Radiology (Diagnostic Radiology)
111 COLCHESTER AVE, PATRICK 109 MCHV
BURLINGTON, VT 05401
Urology
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE PAVILION LEVEL 5
BURLINGTON, VT 05401
Pharmacist
111 COLCHESTER AVE
BURLINGTON, VT 05401
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Physician Assistant
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE NEUROSURGERY
BURLINGTON, VT 05401
Dietitian, Registered
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Physician Assistant
111 COLCHESTER AVE, DERMATOLOGY OUTPATIENT CLINIC, 5TH FLOOR
BURLINGTON, VT 05401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316740996, enumerated as an "individual" on March 31, 2025.

The provider is located at 111 COLCHESTER AVE BURLINGTON, VT 05401 and the phone number is (802) 847-2345.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.