Bechoi Saleib, M.D.
Individual provider Active NPI Internal Medicine Physician · Waterbury, CT
NPI 1275828261 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1275828261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 52711 (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
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20240306000796 | CT | Order and Referring Only - Internal Medicine |
5496077240 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52711 | CT | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 52711 | CT | Yes |
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
NPI Registry JSON
{
"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
- Saint Mary'S Hospital, Inc.
- Saranya Sakhamuri
- Faiza Salam
- Amr Tarek Saleh Mohamed Saleh
- Soofia Salehi
- John A. Salerno
- Kylynn Salerno
- Malika Salieva
- Salute Homecare LLC
- Amanda Lynn Salvatore
All providers in Waterbury, CT · Internal 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 Jan 24, 2017. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.