Individual provider Active NPI

Sally Syaunan Chao, M.D.

  • Emergency Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1083751952
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
043446 Issued in CT
Practice address
2800 Main St
St. Vincent Medical Center
Bridgeport, CT 06606-4201
Phone
(203) 576-5177
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 043446 CT Primary

Addresses

Primary practice location

2800 Main St
St. Vincent Medical Center
Bridgeport, CT 06606-4201

Mailing address

2800 Main St
St. Vincent Medical Center
Bridgeport, CT 06606-4201

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
I20050721000708 CT Practitioner - Emergency Medicine 4183651037 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043446CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital CurrentSince Mar 16, 2020 Accepting new patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Norwalk Hospital Association CurrentSince Jul 21, 2014 Accepting new patients
Danbury Hospital Emergency Medicine CurrentSince Mar 16, 2020 Accepting new patients
Norwalk Hospital Association CurrentSince Jul 21, 2014 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417

Organizations & group practices 5

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1083751952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "address_2": "ST. VINCENT MEDICAL CENTER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "address_2": "ST. VINCENT MEDICAL CENTER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "SALLY",
        "middle_name": "SYAUNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "043446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.