NPIMap

Individual provider Active NPI

Marc N Raad, M.D.

  • Internal Medicine Physician
  • Wolcott, CT
National Provider Identifier
1316085665
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
027695 Issued in CT
Practice address
464 Wolcott Rd
Wolcott, CT 06716-2626
Phone
(203) 879-8003
Fax
(203) 879-8010
NPI assigned
Feb 1, 2007
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 027695 CT Primary

Addresses

Primary practice location

464 Wolcott Rd
Wolcott, CT 06716-2626

Mailing address

503 Wolcott Rd
Wolcott, CT 06716-2673
Phone (203) 879-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000155 CT Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1355493776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027695CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Inhouse Medical LLC Internal Medicine Current Accepting new patients
Uconn Health Community Network Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2026 Accepting new patients
Inhouse Care LLC Current Accepting new patients
Rite Medical Care PC CurrentSince Sep 3, 2021 Accepting new patients
Trinity Terraces LLC PastSince Jan 30, 2024 Accepting new patients
Gericare Psych LLC PastSince Jan 1, 2010 Accepting new patients
Franklin Medical Group, PC Internal Medicine Past Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

385 Main St
Cromwell, CT 06416
Phone (860) 635-5613

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

79 Washington Ave
North Haven, CT 06473
Phone (203) 234-7461

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

1132 Meriden Rd
Waterbury, CT 06705
Phone (203) 757-1228

177 Whitewood Rd
Waterbury, CT 06708
Phone (203) 707-5800

2817 N Main St
Waterbury, CT 06704
Phone (203) 757-0731

3584 E Main St
Waterbury, CT 06705
Phone (203) 754-4181

44 Abbott Ter
Waterbury, CT 06702
Phone (203) 755-4870

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

300 Wolcott Rd
Wolcott, CT 06716
Phone (203) 879-8003

50 Beach Rd
Wolcott, CT 06716
Phone (203) 879-8066

503 Wolcott Rd
Wolcott, CT 06716
Phone (203) 879-8003

46 Main St
Ste 148
Monsey, NY 10952
Phone (917) 740-3853

Interoperability endpoints

  • Direct secure messaging: marcraad@amggw.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pomperaug Woods Health CenterSouthbury, CT, CCN 075318 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Mar 31, 2025
Autumn Lake Healthcare at Bucks HillWaterbury, CT, CCN 075418 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2015
Jan 1, 2015
Autumn Lake Healthcare at CromwellCromwell, CT, CCN 075263 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2015
Jun 1, 2015
Torrington Center for Nursing and RehabilitationTorrington, CT, CCN 075105 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2021
Nov 17, 2025
Waterbury Center for Nursing and RehabilitationWaterbury, CT, CCN 075219 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2021
Nov 17, 2025
Civita Care Center at DanburyDanbury, CT, CCN 075274 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
Oct 1, 2024
Affinity Care of Connecticut LLCHamden, CT, CCN 071547 Hospice Contracted Managing Employee Apr 1, 2024

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1316085665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162673",
            "telephone_number": "203-879-8003",
            "fax_number": "203-879-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162626",
            "telephone_number": "203-879-8003",
            "fax_number": "203-879-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAD",
        "first_name": "MARC",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "027695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolcott, CT

Sources for this page

Verify at the official NPI Registry.