CMS-1500 Box 24J / 33a • NPI
1629241336
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2085R0202X (CMS 30)
Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)
Box 32 Service Location & ZIP+4
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF RADIOLOGY, BURLINGTON, VT, 05401-1473
✓ 9-Digit EDI 837 ZIP+4 (05401-1473)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1629241336 (DMITRIY GRIGORIY AKSELROD, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1629241336 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DMITRIY GRIGORIY AKSELROD, M.D. |
| Plain-English Specialty | Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) NUCC Code: 2085R0202X (Radiology, Diagnostic Radiology) |
| Certifying / Licensing Body | American Board of Radiology (ABR) / FRCR |
| Practice Location Address | 111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF RADIOLOGY, BURLINGTON, VT, 05401-1473 |
| Practice Telephone / Fax | Tel: (802) 847-2030 | Fax: (802) 847-8493 |
| Administrative Mailing Address | 111 COLCHESTER AVE, BURLINGTON, VT, 05401-1473 |
| Enumeration & Last Sync | Enumerated: 2008-04-02 | CMS Record Updated: 2017-05-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2085R0202X)
What Does Taxonomy Code 2085R0202X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0202X translates to:
"Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DMITRIY GRIGORIY AKSELROD, M.D.)
Typical CPT / Diagnostic Procedures:- Non-Contrast CT KUB for Urolithiasis & Contrast CT Chest/Abdomen/Pelvis
- Brain, Spine & Musculoskeletal Magnetic Resonance Imaging (MRI)
- Abdominal, Hepatic, Renal, Pelvic & Vascular Doppler Ultrasound
- 3D Digital Screening & Diagnostic Mammography (BI-RADS Reporting)
- Iodinated Low-Osmolar Intravenous CT Contrast Media (Iohexol, Iopamidol)
- Gadolinium-Based MRI Contrast Agents
- Barium Sulfate & Oral Gastrografin Gastrointestinal Contrast
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: WA | License: MD60346655 | Primary: Secondary |
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: ID | License: M-12281 | Primary: Secondary |
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: VT | License: 042.0012073 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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