Individual provider Active NPI

David Scott Tiber, M.D.

  • Pediatrics Physician
  • Avon, CT
National Provider Identifier
1225248818
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
77285 Issued in CT
Practice address
40 Dale Rd Ste 201
Avon, CT 06001-3692
Phone
(646) 921-6266
NPI assigned
May 23, 2007
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 77285 CT Primary
Pediatric Critical Care Medicine Physician 2080P0203X 249455 MA

Addresses

Primary practice location

40 Dale Rd Ste 201
Avon, CT 06001-3692

Mailing address

111 E 57TH St RM 202
New York, NY 10022-2645
Phone (516) 726-0336

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 442-2164

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.tiber@metroveincenters.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120124000775 MA Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 7315033776 Reassigns benefits to 1 organization
I20240426000970 CT Practitioner - Pediatric Medicine 7315033776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVC CTGroup PAC ID 3274905104, 4 clinicians

Practice addresses (Care Compare)

40 Dale Rd
Suite 201
Avon, CT 06001-3692
Phone (866) 607-2308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MVC CT CurrentSince May 6, 2024 Accepting new patients
Umass Memorial Medical Group Inc Pediatrics CurrentSince Nov 2, 2011 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Nov 2, 2011 Accepting new patients
MVC Az Past Accepting new patients
New Jersey Medical Services Group, LLC PastSince Nov 1, 2019 Accepting new patients

Locations

40 Dale Rd
Ste 201
Avon, CT 06001
Phone (860) 676-9350

55 Walls Dr
Ste 405
Fairfield, CT 06824
Phone (203) 259-7070

95 Glastonbury Blvd
Ste 202
Glastonbury, CT 06033
Phone (860) 365-2840

1952 Whitney Ave
Ste 302
Hamden, CT 06517

2001 W Main St
Ste 225
Stamford, CT 06902

1389 W Main St
Ste 102
Waterbury, CT 06708

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: dtiber23866@umassmemorial.direct-ci.com

Organizations & group practices 5

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1225248818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 57TH ST RM 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222645",
            "telephone_number": "516-726-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DALE RD STE 201",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013692",
            "telephone_number": "646-921-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "774-442-2164",
            "fax_number": "774-443-6026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBER",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "77285",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MA",
            "license": "249455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.tiber@metroveincenters.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Dale Rd Ste 201",
            "city": "Avon",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060013692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.