NPIMap

Individual provider Active NPI

Raymond Raut, M.D.

  • Nephrology Physician
  • Danbury, CT
National Provider Identifier
1114965142
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
044409 Issued in CT
Practice address
111 Osborne St
Suite 210
Danbury, CT 06810-6000
Phone
(203) 739-7104
Fax
(203) 739-8762
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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 044409 CT Primary

Addresses

Primary practice location

111 Osborne St
Suite 210
Danbury, CT 06810-6000

Mailing address

111 Osborne St
Suite 210
Danbury, CT 06810-6000
Phone (203) 739-7104

Other identifiers 1

IdentifierTypeStateIssuer
001444091MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000419 CT Practitioner - Nephrology 0840264164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

170 Mount Pleasant Rd
Newtown, CT 06470-1408
Phone (203) 426-1818

23 Prospect Ave
Norwalk, CT 06850-3705
Phone (203) 454-8600

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

40 Cross St
Norwalk, CT 06851-4647
Phone (203) 546-3377

Hospital & facility affiliations

  • DaVita Housatonic Dialysis Dialysis facility, Newtown, CT, CCN 072548
  • DaVita Danbury Dialysis Dialysis facility, Danbury, CT, CCN 072544
  • Dialysis Center at Norwalk LLC Dialysis facility, Norwalk, CT, CCN 072559
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044409CTMDNephrology Physician
002134NYMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Nephrology CurrentSince Oct 31, 2006 Accepting new patients

Locations

111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131

111 Osborne St
Ste 210
Danbury, CT 06810
Phone (203) 739-7104

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

40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020

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 10

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1114965142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OSBORNE ST",
            "address_2": "SUITE 210",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106000",
            "telephone_number": "203-739-7104",
            "fax_number": "203-739-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OSBORNE ST",
            "address_2": "SUITE 210",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106000",
            "telephone_number": "203-739-7104",
            "fax_number": "203-739-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUT",
        "first_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "044409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001444091",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.