Ana Patricia Echeverri, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042666 Issued in CT

Practice address

111 Beach Rd Ste 3
Fairfield, CT 06824-6668

Phone

(203) 255-2340

Fax

(203) 255-0619

NPI assigned

Dec 13, 2006

Reactivated

May 22, 2023

Last updated

May 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Management Group LLCGroup PAC ID 6709115298, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Danbury Hospital Hospital, Danbury, CT, CCN 070033
• Saint Mary's Hospital Hospital, Waterbury, CT, CCN 070016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• M Management Group LLC

  • Pulmonary Disease Physician
  • Landover, MD
  • NPI 1487215182

  CT

  Medicare reassignment Care Compare group NPD
• Ana Patricia Echeverri MD PC

  • Internal Medicine Physician
  • Greenwich, CT
  • NPI 1861958621
  Authorized official Same address or phone
• M Management Group, LLC

  • Gastroenterology Physician
  • Landover, MD
  • NPI 1649134784
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
  • NPI 1003835935

  Hospital

  Care Compare affiliation
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  Care Compare affiliation
• Saint Mary's Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969
  Care Compare affiliation

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1053472647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 1/2 DEARFIELD DR",
            "address_2": "SUITE 101",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315335",
            "telephone_number": "203-994-6547",
            "fax_number": "914-939-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BEACH RD STE 3",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246668",
            "telephone_number": "203-255-2340",
            "fax_number": "203-255-0619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Waterbury Rd",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "CT",
            "postal_code": "067121252",
            "country_code": "US",
            "telephone_number": "203-527-9444",
            "fax_number": "203-527-9332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 1/2 DEARFIELD DRIVE",
            "address_2": "SUITE 101",
            "address_purpose": "LOCATION",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06831",
            "country_code": "US",
            "telephone_number": "203-994-6547",
            "fax_number": "914-939-5696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHEVERRI",
        "first_name": "ANA",
        "middle_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "deactivation_date": "2023-04-10",
        "reactivation_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042666",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PECOS PAC ID",
            "identifier": "2961790415",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "042666",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENROLLMENT ID",
            "identifier": "I20161017000301",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER",
            "identifier": "CSP.0038698",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica K Duthie
• Gail Dziurzynski, CSW
• Tanya Dzubaty, PA-C
• Kathleen Early, MA, LPC, NCC
• Eben-Ezer Delivery & Transportation LLC
• Rachel Edelman, CRNA
• Valentine Edusa, MD, FACOG
• Edward Staub MD PC
• Heather Edwards, OT
• Kelsey Eidam, OTR/L

• Internal Medicine Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.