Individual provider Active NPI

Christopher Doucette

  • Student in an Organized Health Care Education/Training Program
  • Rochester, NY
National Provider Identifier
1104352723
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
601 Elmwood Ave Box Med
Rochester, NY 14642-0001
Phone
(585) 275-2874
NPI assigned
May 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

601 Elmwood Ave Box Med
Rochester, NY 14642-0001

Mailing address

1331 Mount Hope Ave
Apt 2-442
Rochester, NY 14620-3933
Phone (508) 439-2189

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
I20220405002193 CT Practitioner - Radiation Oncology 0648666305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Connecticut Radiation Oncology PCGroup PAC ID 5395847966, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 827-4161

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8433

Hospital & facility affiliations

  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Connecticut Radiation Oncology PC CurrentSince Mar 25, 2022 Accepting new patients
Radiation Oncology Physicians of Connecticut, LLC CurrentSince Jul 19, 2023 Accepting new patients
Central Connecticut Radiation Oncology PC CurrentSince Mar 25, 2022 Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

435 Lewis Ave
Ste 205
Meriden, CT 06451
Phone (203) 757-8361

536 Saybrook Rd
#C
Middletown, CT 06457
Phone (860) 358-2100

760 Saybrook Rd
Bldg A
Middletown, CT 06457

536 Saybrook Rd
Middletown, CT 06457
Phone (860) 358-2100

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

183 N Mountain Rd
New Britain, CT 06053
Phone (860) 827-4161

330 Washington St
Ste 110
Norwich, CT 06360

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

Interoperability endpoints

  • Direct secure messaging: christopher.doucette@xdr.hhchealthdirect.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.

Hospital & facility affiliations 4

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": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1104352723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MOUNT HOPE AVE",
            "address_2": "APT 2-442",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203933",
            "telephone_number": "508-439-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX MED",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.