Individual provider Active NPI

Mira Rho, MD

  • Nephrology Physician
  • Middlebury, CT
National Provider Identifier
1093936205
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
045136 Issued in CT
Practice address
850 Straits Tpke
Suite 102
Middlebury, CT 06762-2843
Phone
(203) 758-1800
Fax
(203) 758-1804
NPI assigned
May 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 045136 CT Primary

Addresses

Primary practice location

850 Straits Tpke
Suite 102
Middlebury, CT 06762-2843

Mailing address

850 Straits Tpke
Suite 102
Middlebury, CT 06762-2843
Phone (203) 758-1800

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
I20070807000563 CT Practitioner - Nephrology 3779674684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Connecticut School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Hypertension Assoc PCGroup PAC ID 4385634138, 5 clinicians

Practice addresses (Care Compare)

850 Straits Tpke
Middlebury, CT 06762-2843
Phone (203) 758-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045136CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
Nephrology and Hypertension Assoc PC Nephrology CurrentSince Aug 1, 2007 Accepting new patients

Locations

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

850 Straits Tpke
Middlebury, CT 06762
Phone (203) 758-1800

850 Straits Tpke
Ste 102
Middlebury, CT 06762
Phone (203) 758-1800

Interoperability endpoints

  • Direct secure messaging: mrho@direct.wtbyhosp.org
  • Direct secure messaging: mira.rho@direct.davitaphysiciansolutions.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093936205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 STRAITS TPKE",
            "address_2": "SUITE 102",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622843",
            "telephone_number": "203-758-1800",
            "fax_number": "203-758-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STRAITS TPKE",
            "address_2": "SUITE 102",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622843",
            "telephone_number": "203-758-1800",
            "fax_number": "203-758-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHO",
        "first_name": "MIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "045136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.