1. Home
  2. Directory
  3. Vermont
  4. South Burlington
  5. Dentist
  6. NPI Profile

ADISA RATANASIRINTRAWOOT
NPI 1619443546
Dentist - Periodontics in South Burlington, VT

Active since October 18, 2018PECOS Enrolled
1775 WILLISTON RD, SOUTH BURLINGTON, VT 05403(802) 863-5447 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2021, Oct 18, 2018 (2 updates tracked since 2018).

About Adisa Ratanasirintrawoot NPPES

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

ADISA RATANASIRINTRAWOOT (NPI 1619443546) is an individual periodontics provider in South Burlington, Vermont, licensed in Vermont (016.0134058) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619443546
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameADISA RATANASIRINTRAWOOT
Location Address1775 WILLISTON RDSouth Burlington, VT 05403-6491
Mailing Address77 Pine St Apt 509Burlington, VT 05401-5945 · (857) 361-2255
Phone(802) 863-5447
Sole ProprietorNo
Enumeration DateOctober 18, 2018
Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1619443546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in VT · 016.0134058
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1775 WILLISTON RD, South Burlington, VT 05403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adisa Ratanasirintrawoot 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT A LUEBBERS M.D.
Family Medicine
1775 WILLISTON RD
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-8500
MICHEAL R SIROIS M.D.
Family Medicine
1775 WILLISTON RD
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-8500
DR. JANE G CONOLLY MD
Obstetrics & Gynecology (Gynecology)
1775 WILLISTON RD, SUITE 110
SOUTH BURLINGTON, VT 05403
Chittenden County (877) 698-8496
MT MANSFIELD OBSTETRICS AND GYNECOLOGY
Obstetrics & Gynecology
1775 WILLISTON RD, SUITE 220
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 861-0200
JENNIFER ANN LEVY P.T.
Physical Therapist
1775 WILLISTON RD
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-2391
LISA KELLEY C.N.M.
Advanced Practice Midwife
1775 WILLISTON RD, SUITE 220
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 861-0200
CYNTHIA BARBARA ALMONTE PT
Physical Therapist (Orthopedic)
1775 WILLISTON RD
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-2391
MEGAN JEAN CRONIN DPT
Physical Therapist
1775 WILLISTON RD, SUITE 104
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 863-6662

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 Adisa Ratanasirintrawoot's NPI number?

The NPI number for Adisa Ratanasirintrawoot is 1619443546. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Adisa Ratanasirintrawoot located?

Adisa Ratanasirintrawoot practices at 1775 Williston Rd, South Burlington, VT 05403. The listed phone number is (802) 863-5447.

What is Adisa Ratanasirintrawoot's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Adisa Ratanasirintrawoot enrolled in Medicare?

Yes. Adisa Ratanasirintrawoot is registered in the Medicare PECOS enrollment system.

What insurance does Adisa Ratanasirintrawoot accept?

Health plans from Anthem Blue Cross and Blue Shield list Adisa Ratanasirintrawoot 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.

When was this NPI record last updated?

The NPPES record for Adisa Ratanasirintrawoot was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.