Rachelle Andre, MD
Individual provider Active NPI Family Medicine Physician · Waterford, CT
NPI 1205112901 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1205112901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 54626 (CT)
- Practice address
- 196 Waterford Pkwy S
Waterford, CT 06385-1234 - Phone
- (860) 437-6764
- Fax
- (860) 865-2392
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rutgers New Jersey Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Medical Group Inc
Practice addresses (Care Compare)
196 Pkwy S
Suite 103
Waterford, CT 06385
Phone (860) 443-4383
Hospital & facility affiliations
- Yale New Haven Health - Health at Home Southeast
- Masonicare Home Health & Hospice, Inc
- Lawrence & Memorial Hospital
- Yale-New Haven Hospital
- Westerly Hospital
- William W Backus Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151215000906 | CT | Practitioner - Family Practice | 7719137116 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current |
Accepting new patients |
Locations
226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
196 Parkway S
Ste 103
Waterford, CT 06385
Phone (860) 443-4383
196 Parkway S
Unit 103
Waterford, CT 06385
Interoperability endpoints
- rdarout329660@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 54626 | CT | Yes |
Addresses
Primary practice location
196 Waterford Pkwy S
Waterford, CT 06385-1234
Mailing address
196 Waterford Pkwy S
Waterford, CT 06385-1234
Phone (860) 437-6764
Other names
- Dr. Rachelle Darout
Other providers in Waterford, CT
- Ajlr Dental Associates PC
- Alchemic Healing, LLC
- Gemstonn Boniface Alegre
- Allegheny Foot & Ankle Center, LLC
- Amanda Frechette, LCSW LLC
- Arlene B. Werner, PH.D.
- Arnold E. Benak Jr. DMD LLC
- Ascension Naturopathic Healing Center LLC
- Amandeep Singh Aujla
- Penelope Emma Avalos
All providers in Waterford, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.