Individual provider Active NPI

Julianne Yantachka Icatar, MD

  • Obstetrics & Gynecology Physician
  • Bridgeport, CT
National Provider Identifier
1326128422
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
039643 Issued in CT
Practice address
89 Hart St
Bridgeport, CT 06606-5048
Phone
(203) 579-2229
NPI assigned
Oct 16, 2006
Last updated
Dec 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 039643 CT Primary

Addresses

Primary practice location

89 Hart St
Bridgeport, CT 06606-5048

Mailing address

15 Prowitt St
Norwalk, CT 06855-1203
Phone (203) 299-0792

Other identifiers 1

IdentifierTypeStateIssuer
001396432MedicaidCT

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
I20100507000202 CT Practitioner - Obstetrics/Gynecology 1850429192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians
South-West Community Health Center IncGroup PAC ID 2466445200, 52 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-6201

46 Albion St
Bridgeport, CT 06605-2602
Phone (203) 332-3505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039643CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Aug 1, 2025 Accepting new patients
South-West Community Health Center, Inc CurrentSince Jun 16, 2018 Accepting new patients
Physicians for Women's Health LLC Obstetrics & Gynecology CurrentSince Feb 2, 2010 Accepting new patients

Locations

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155

510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000

762 Lindley St
Bridgeport, CT 06606
Phone (203) 576-5131

89 Hart St
Bridgeport, CT 06606
Phone (203) 579-2229

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

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

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

2 Trap Falls Rd
Ste 510
Shelton, CT 06484
Phone (203) 944-0242

Interoperability endpoints

  • Direct secure messaging: jicatar577566@direct.ochin.org
  • Direct secure messaging: julianne.icatar.1@10170.direct.athenahealth.com
  • Direct secure messaging: julianney.icatar@xdr.hhchealthdirect.org

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1326128422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PROWITT ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068551203",
            "telephone_number": "203-299-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HART ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065048",
            "telephone_number": "203-579-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICATAR",
        "first_name": "JULIANNE",
        "middle_name": "YANTACHKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "039643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001396432",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.