Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1215669205 Deactivated / Inactive NPI Male Practitioner

Dr. Alexander Jacob Rovner , MD

Pediatrics • Burlington, VT

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Alexander Rovner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2022
NPI Deactivation Date May 30, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Rovner, MD was a registered Pediatrics practicing in Burlington, VT. Throughout an active medical career spanning 1 years, Dr. Rovner provided care at the practice location at 111 COLCHESTER AVE until profile deactivation on 2023-05-30.

Practice Location & Contact Primary Location

Practice Address

111 Colchester Ave

Burlington, VT 054011473

Telephone 8028470000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Burlington, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
52 Specialists

Practicing in Burlington, VT (186 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VT 060.0005973

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Do Not Have
000000000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Natalie Grigoli , MS CCC-SLP

Speech-Language Pathologist

NPI 1003306234

MSCCCSLP

Dr. Andrew Nguyen , MD

Radiology - Diagnostic Radiology

NPI 1003490129

Doctor of Medicine (M.D.)

Dr. Kaitlyn Dillon , DNP, APRN, FNP-C

Registered Nurse - Medical-Surgical

NPI 1003744525

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1013136159

Doctor of Medicine (M.D.)

NPI 1013434612

Master of Science in Nursing, Registered Nurse, Women's Health Nurse Practitioner (Board Certified)

Dr. William Manning , MD

Emergency Medicine

NPI 1013442235

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location July 01, 2025

Registered at 111 COLCHESTER AVE, BURLINGTON, VT 054011473 (Tel: 8028470000)

📍
Updated Business Mailing Address July 01, 2025

Registered at 111 COLCHESTER AVE, BURLINGTON, VT 054011473 (Tel: 8028470000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Pediatrics (License #060.0005973 in VT)

📍
Updated Practice Location July 26, 2023

Registered at 171 ASHLEY AVE SUITE 419, # 403, CHARLESTON, SC 294250001 (Tel: 8434086746)

📍
Updated Business Mailing Address July 26, 2023

Registered at 171 ASHLEY AVE SUITE 419, # 403, CHARLESTON, SC 294250001 (Tel: 8434086746)

👤
Provider Name / Credentials Updated July 26, 2023

Recorded as ALEXANDER ROVNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2023

Student in an Organized Health Care Education/Training Program

⚠️
NPI Profile Deactivated May 30, 2023

Record deactivated on May 30, 2023

NPI Profile Active July 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 04, 2022

Registered at 171 ASHLEY AVE SUITE 419, # 403, CHARLESTON, SC 294250001 (Tel: 8434086746)

📍
Updated Business Mailing Address July 04, 2022

Registered at 171 ASHLEY AVE SUITE 419, # 403, CHARLESTON, SC 294250001 (Tel: 8434086746)

👤
Provider Name / Credentials Updated July 04, 2022

Recorded as ALEXANDER ROVNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 28, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Alexander Rovner. Be the first to share your experience!

Sign in to leave a review for Dr. Alexander Rovner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1215669205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2022
Last Update: July 01, 2025
Deactivation Date: May 30, 2023
Sole Proprietor: Yes

Mailing Address

111 Colchester Ave

Burlington, VT 054011473

Phone: 8028470000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.