Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pedro Vinicius Staziaki, MD

Individual provider Diagnostic Radiology Physician · NPI 1912358318

Pedro Vinicius Staziaki, MD is a Diagnostic Radiology in Burlington, Vermont. Qualified in 2016, 10 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Vermont.

Years since qualifying
10
Licensed in
MA, VT
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 820 Harrison Ave Bldg 3, Boston, MA 02118-2905 — (617) 414-5135
  • 115 Lincoln St, Framingham, MA 01702-6358 — (508) 383-1555

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 042-0015695 (VT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 268556 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 268556 (MA)

Record details

NPI number1912358318
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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