Robert Scott Prewitt, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

029779 Issued in CT

Practice address

2900 Main St
Suite 3C
Stratford, CT 06614-4946

Phone

(203) 378-3080

Fax

(203) 377-3897

NPI assigned

Mar 23, 2006

Last updated

May 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1184683443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MAIN ST",
            "address_2": "SUITE 3C",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144946",
            "telephone_number": "203-378-3080",
            "fax_number": "203-377-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MAIN ST",
            "address_2": "SUITE 3C",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144946",
            "telephone_number": "203-378-3080",
            "fax_number": "203-377-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "029779",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "029779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Hearing Specialists, LLC
• Premier Oral Surgery and Implantology Center LLC
• Premise Health of Connecticut Medical, P.C. (The Wellness Center operated by Premise Health)
• Anne Pretty, LCSW
• Heather Previs
• Primary Care Associates,PC
• Primary Care Physicians of Stratford, LLC
• Prize in Process PLLC
• Ptsma, Inc. (Select Physical Therapy)
• Pulmonary Rehabilitation Associates, LLC

• Pediatrics Physician in Stratford, CT
• Providers in Stratford, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.