Individual provider Active NPI

Suzanne Lefebvre, M.D.

  • Internal Medicine Physician
  • Kent, CT
National Provider Identifier
1255310033
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041413 Issued in CT
Practice address
64 Maple St
Box 885
Kent, CT 06757-1721
Phone
(860) 927-1133
Fax
(860) 927-1166
NPI assigned
Jan 11, 2006
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 041413 CT
Internal Medicine Physician 207R00000X 041413 CT Primary
Pediatrics Physician 208000000X 041413 CT

Addresses

Primary practice location

64 Maple St
Box 885
Kent, CT 06757-1721

Mailing address

64 Maple St
Box 885
Kent, CT 06757-1721
Phone (860) 927-1133

Other identifiers 1

IdentifierTypeStateIssuer
001414135MedicaidCT

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
I20080407000013 CT Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7113939109 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041413CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Family Medicine CurrentSince Mar 16, 2020 Accepting new patients
Nuvance Health Medical Practice PC Internal Medicine CurrentSince Aug 19, 2019 Accepting new patients
Kent Med Peds, LLC Family Medicine Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

38 N Main St
Kent, CT 06757
Phone (860) 927-3725

64 Maple St
Kent, CT 06757
Phone (860) 419-5925

64 Maple St
#885
Kent, CT 06757
Phone (860) 927-1133

21 Elm St
New Milford, CT 06776
Phone (860) 210-5000

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

36 Charles Colman Blvd
Pawling, NY 12564
Phone (845) 855-1258

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, 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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1255310033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MAPLE ST",
            "address_2": "BOX 885",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067571721",
            "telephone_number": "860-927-1133",
            "fax_number": "860-927-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MAPLE ST",
            "address_2": "BOX 885",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067571721",
            "telephone_number": "860-927-1133",
            "fax_number": "860-927-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEBVRE",
        "first_name": "SUZANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "041413",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "041413",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "041413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001414135",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, CT

Sources for this page

Verify at the official NPI Registry.