Individual provider Active NPI

Mara Chamoures, NP-C

  • Family Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1124576152
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6738 Issued in CT
Practice address
120 Main St FL 4
Danbury, CT 06810-7834
Phone
(203) 743-9760
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6738 CT Primary

Addresses

Primary practice location

120 Main St FL 4
Danbury, CT 06810-7834

Mailing address

120 Main St FL 4
Danbury, CT 06810-7834
Phone (203) 743-9760

Other names 1

  • Mara Blumetti Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729000441 CT Practitioner - Nurse Practitioner 3274810627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Diagnostic of Connecticut, P.C.Group PAC ID 0941382113, 66 clinicians

Practice addresses (Care Compare)

3514 Main St
Coventry, CT 06238-1551
Phone (866) 389-2727

7 Durant Ave
Bethel, CT 06801-1906
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6738CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc CurrentSince Dec 30, 2025 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Jun 19, 2020 Accepting new patients
Minuteclinic Primary Care Connecticut PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Dec 30, 2025 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

72 Hospital Ave
Danbury, CT 06810
Phone (203) 731-8272

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 456-1405

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

40 East St
New Milford, CT 06776
Phone (860) 354-4455

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

1 Hawley Ln
Stratford, CT 06614
Phone (203) 383-7735

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1124576152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN ST FL 4",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107834",
            "telephone_number": "203-743-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST FL 4",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107834",
            "telephone_number": "203-743-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMOURES",
        "first_name": "MARA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "BLUMETTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.