Individual provider Active NPI

Allyson Lynn Rovetto, M.D.

  • Pediatrics Physician
  • Watertown, CT
National Provider Identifier
1285892703
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
050007 Issued in CT
Practice address
365 Main St Ste 201
Watertown, CT 06795-2249
Phone
(860) 274-2418
Fax
(860) 274-2986
NPI assigned
May 30, 2008
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 050007 CT Primary

Addresses

Primary practice location

365 Main St Ste 201
Watertown, CT 06795-2249

Mailing address

365 Main St Ste 201
Watertown, CT 06795-2249
Phone (860) 274-2418

Other identifiers 10

IdentifierTypeStateIssuer
1154371OtherCTUSA
008032569MedicaidCT
050007OtherCTCONNECTICARAE
1120325OtherCTCIGNA
1120325OtherCTGREAT WEST
618823OtherCTWELLCARE
P4362830OtherCTOXFORD
PENDINGOtherCTRR MEDICARE
010050007CT01OtherCTANTHEM BCBS CT
9823685OtherCTAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff@watertown.doctor Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050007CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Adolescent Health Care Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: allysonrovetto@caahc-ct.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/11240/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1285892703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MAIN ST STE 201",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952249",
            "telephone_number": "860-274-2418",
            "fax_number": "860-274-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MAIN ST STE 201",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952249",
            "telephone_number": "860-274-2418",
            "fax_number": "860-274-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVETTO",
        "first_name": "ALLYSON",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "050007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA",
            "identifier": "1154371",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008032569",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARAE",
            "identifier": "050007",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1120325",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "1120325",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "618823",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P4362830",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "PENDING",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS CT",
            "identifier": "010050007CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9823685",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@watertown.doctor",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "365 Main St Ste 201",
            "city": "Watertown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067952249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.