Individual Healthcare Provider
Karen Michelle Custodio, DO
Provider's NPPES record last updated: October 16, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1033734447
- Primary Specialty
- Family Medicine — Hospice and Palliative Medicine
- Practice Location
- Burlington, Vermont
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 1:12 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Taxonomy code 207QH0002X Emergency Medicine
Allopathic & Osteopathic Physicians
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Taxonomy code 207P00000XStudent in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Family Medicine (Vermont)
- 032.0134274
- Emergency Medicine (Vermont)
- 032.0134274
- Emergency Medicine (Pennsylvania)
- OT019969
- Emergency Medicine (New York)
- 338635
- Student in an Organized Health Care Education/Training Program (New Hampshire)
- R4289
Practice Locations
Practice Location
111 Colchester Ave
Burlington, Vermont 05401-1473
Phone: (802) 847-0000
Additional Practice Location
75 Beekman St
Plattsburgh, New York 12901-1438
Phone: (518) 561-2000
Additional Practice Location
1 Medical Center Dr
Lebanon, New Hampshire 03756-1000
Phone: (603) 650-5000
Additional Practice Location
5501 Old York Rd
Philadelphia, Pennsylvania 19141-3018
Phone: (215) 456-3834
Record Information
- Enumeration Date
- June 11, 2020
- Provider's NPPES Record Last Updated
- October 16, 2025
- Certification Date
- October 16, 2025
- NPISignal NPPES Dataset
- August 2026
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