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Green Mountain Infectious Disease LLC

NPI 1205640604ActiveOrganization· Internal Medicine, Infectious Disease· Rutland, VT

Internal Medicine, Infectious Disease in Rutland, Vermont, registered in NPPES in February 2025. The authorized official on file is John Gavin Cotter, Provider/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1205640604
StatusActive
Entity typeOrganization
NPI issuedFeb 5, 2025
Last updated in NPPESJul 10, 2025
Certified by providerJul 10, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Infectious Disease Primary207RI0200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (VT)

Medicare sources and data years

Other infectious disease specialists in Rutland

All infectious disease specialists in Vermont