Individual provider Active NPI

Jennifer Sanders, M.D.

  • Emergency Medicine Physician
  • Waterbury, CT
National Provider Identifier
1215082193
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
046321 Issued in CT
Practice address
64 Robbins St
Department of Emergency Medicine
Waterbury, CT 06708-2613
Phone
(860) 830-7491
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 046321 CT Primary

Addresses

Primary practice location

64 Robbins St
Department of Emergency Medicine
Waterbury, CT 06708-2613

Mailing address

64 Robbins St
Department of Emergency Medicine
Waterbury, CT 06708-2613
Phone (860) 830-7491

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
I20080924000255 CT Practitioner - Emergency MedicinePractitioner - Hospitalist 9739256348 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
84.96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046321CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Connecticut, LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Emergency Medicine Physicians of New Haven County,LLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Emergency Medicine Physicians of Fairfield County, LLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

Interoperability endpoints

  • Direct secure messaging: jsanders@direct.wtbyhosp.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1215082193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "860-830-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "860-830-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "046321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.