Individual provider Active NPI

Richard Roger Viscarello Jr., M.D.

  • Maternal & Fetal Medicine Physician
  • Stamford, CT
National Provider Identifier
1043235567
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
028952 Issued in CT
Practice address
1275 Summer Street
Suite 306
Stamford, CT 06905-5315
Phone
(203) 978-5775
Fax
(203) 978-5777
NPI assigned
Jul 13, 2006
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 028952 CT Primary

Addresses

Primary practice location

1275 Summer Street
Suite 306
Stamford, CT 06905-5315

Mailing address

1275 Summer St Ste 306
Stamford, CT 06905-5315
Phone (203) 978-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013001827 CT Practitioner - Obstetrics/Gynecology 7012315542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028952CTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maternal Fetal Care, P.C. Maternal & Fetal Medicine CurrentSince Sep 24, 2021 Accepting new patients

Locations

1275 Summer St
Ste 306
Stamford, CT 06905
Phone (203) 978-5774

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1043235567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SUMMER ST STE 306",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055315",
            "telephone_number": "203-978-5775",
            "fax_number": "203-978-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SUMMER STREET",
            "address_2": "SUITE 306",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055315",
            "telephone_number": "203-978-5775",
            "fax_number": "203-978-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCARELLO",
        "first_name": "RICHARD",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CT",
            "license": "028952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.