Individual provider Active NPI

Stephanie L. Sugin, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Waterbury, CT
National Provider Identifier
1114997137
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
32548 Issued in CT
Practice address
1201 W Main St
Suite 100
Waterbury, CT 06708-3105
Phone
(203) 597-9100
Fax
(203) 596-4758
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 032548 CT
Retina Specialist (Ophthalmology) Physician 207WX0107X 32548 CT Primary

Addresses

Primary practice location

1201 W Main St
Suite 100
Waterbury, CT 06708-3105

Mailing address

1201 W Main St
Suite 100
Waterbury, CT 06708-3105
Phone (203) 597-9100

Other identifiers 1

IdentifierTypeStateIssuer
180000559OtherCTMEDICARE PTAN

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
I20101117000157 CT Practitioner - Ophthalmology 0547210064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Care Group, P.C.Group PAC ID 6103876628, 16 clinicians

Practice addresses (Care Compare)

6 Business Park Dr
Suite 102
Branford, CT 06405-2988
Phone (203) 573-4849

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
92.44
Promoting interoperability
100
Improvement activities
40
Cost
65.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032548CTMDOphthalmology Physician
32548CTMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Care Group, P.C. Ophthalmology CurrentSince Jun 9, 1992 Accepting new patients
The Eye Care Group Ophthalmology CurrentSince Jun 9, 1992 Accepting new patients
TDG Connecticut PLLC Past Accepting new patients

Locations

6 Business Park Dr
Ste 102
Branford, CT 06405
Phone (203) 573-4849

250 Indian River Rd
Ste 100
Orange, CT 06477
Phone (203) 401-6378

22 Old Waterbury Rd
Ste 202
Southbury, CT 06488
Phone (203) 262-1600

1201 W Main St
Ste 100
Waterbury, CT 06708
Phone (203) 573-4849

Interoperability endpoints

  • Direct secure messaging: ssugin@tecg.intellechartdirect.net
  • Direct secure messaging: stephanie.sugin.p1@direct.theeyecaregroup.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1114997137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083105",
            "telephone_number": "203-597-9100",
            "fax_number": "203-401-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083105",
            "telephone_number": "203-597-9100",
            "fax_number": "203-596-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIN",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "032548",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CT",
            "license": "32548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "180000559",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.