Individual provider Active NPI

James G Uberti, MD

  • Internal Medicine Physician
  • Prospect, CT
National Provider Identifier
1083683544
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
030220 Issued in CT
Practice address
166 Waterbury Rd
Ste 300
Prospect, CT 06712
Phone
(203) 758-0878
Fax
(203) 758-0877
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 030220 CT Primary

Addresses

Primary practice location

166 Waterbury Rd
Ste 300
Prospect, CT 06712

Mailing address

166 Waterbury Rd
Ste 300
Prospect, CT 06712
Phone (203) 758-0878

Other identifiers 1

IdentifierTypeStateIssuer
1302207MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juberti43613@direct.stfranciscare.org Direct

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
I20090331000530 CT Practitioner - Internal Medicine 4880688381 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030220CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Dec 19, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Dec 19, 2021 Accepting new patients
Sone Health Medical Group, PLLC Internal Medicine PastSince Jun 21, 2024 Accepting new patients

Locations

9 Cranbrook Blvd
Fl 2
Enfield, CT 06082
Phone (860) 242-8591

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

166 Waterbury Rd
Ste 300
Prospect, CT 06712
Phone (203) 709-5300

Interoperability endpoints

  • Direct secure messaging: juberti2389468@direct.trinity-health.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1083683544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WATERBURY RD",
            "address_2": "STE 300",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "06712",
            "telephone_number": "203-758-0878",
            "fax_number": "203-758-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 WATERBURY RD",
            "address_2": "STE 300",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "06712",
            "telephone_number": "203-758-0878",
            "fax_number": "203-758-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBERTI",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "030220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302207",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juberti43613@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "166 Waterbury Rd",
            "address_2": "Ste 300",
            "city": "Prospect",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

Verify at the official NPI Registry.