Individual provider Active NPI

Francis Mayeda, M.D.

  • Obstetrics & Gynecology Physician
  • Waterford, CT
National Provider Identifier
1083631055
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
029466 Issued in CT
Practice address
914 Hartford Tpke
Waterford, CT 06385-4263
Phone
(860) 442-1177
Fax
(860) 442-1181
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD09702 RI
Obstetrics & Gynecology Physician 207V00000X 029466 CT Primary

Addresses

Primary practice location

914 Hartford Tpke
Waterford, CT 06385-4263

Mailing address

914 Hartford Tpke
Waterford, CT 06385-4263
Phone (860) 442-1177

Other practice location 1

4 Shaws Cv
New London, CT 06320-4956
Phone (860) 447-2935

Other practice location 2

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Other identifiers 1

IdentifierTypeStateIssuer
1294660MedicaidCT

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
I20060725000307 CT Practitioner - Obstetrics/Gynecology 4981617685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

914 Hartford Tpke
Suite 206
Waterford, CT 06385-4276
Phone (860) 442-1177

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029466CTMDObstetrics & Gynecology Physician
MD09702RIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayeda Gynecology, PLLC Obstetrics & Gynecology CurrentSince May 19, 2021 Accepting new patients

Locations

4 Shaws Cv
Ste 105
New London, CT 06320
Phone (860) 447-8664

914 Hartford Tpke
Waterford, CT 06385
Phone (860) 443-3250

914 Hartford Tpke
Ste 206
Waterford, CT 06385
Phone (860) 421-4695

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24127/brand/1/csg/1/fhir/r4
  • Direct secure messaging: francis.mayeda.1@27673.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1083631055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 HARTFORD TPKE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854263",
            "telephone_number": "860-442-1177",
            "fax_number": "860-442-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 HARTFORD TPKE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854263",
            "telephone_number": "860-442-1177",
            "fax_number": "860-442-1181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Shaws Cv",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204956",
            "country_code": "US",
            "telephone_number": "860-447-2935",
            "fax_number": "860-447-2935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYEDA",
        "first_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD09702",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "029466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1294660",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.