Individual provider Active NPI

Bechoi Saleib, M.D.

  • Internal Medicine Physician
  • Waterbury, CT
National Provider Identifier
1275828261
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52711 Issued in CT
Practice address
1981 E Main St
2ND Floor
Waterbury, CT 06705-1822
Phone
(203) 709-5520
Fax
(203) 709-5545
NPI assigned
Jun 17, 2011
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 52711 CT Primary

Addresses

Primary practice location

1981 E Main St
2ND Floor
Waterbury, CT 06705-1822

Mailing address

PO Box 1090
Windsor, CT 06095-6190
Phone (800) 925-7270

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
I20240306000796 CT Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5496077240

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1275828261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060956190",
            "telephone_number": "800-925-7270",
            "fax_number": "888-331-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 E MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051822",
            "telephone_number": "203-709-5520",
            "fax_number": "203-709-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEIB",
        "first_name": "BECHOI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "52711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.