NPIMap

Organization Active NPI

Wilton Medical Associates PC

  • Hospitalist Physician
  • Wilton, CT
National Provider Identifier
1346233079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
WILTON MEDICAL ASSOCIATES PC
Practice address
20 Old Ridgefield Rd
Wilton, CT 06897-3012
Phone
(203) 762-5588
Fax
(203) 761-0829
NPI assigned
Aug 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Arthur G Disouza, MD
Title
President
Phone
(230) 762-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

20 Old Ridgefield Rd
Wilton, CT 06897-3012

Mailing address

PO Box 793
Wilton, CT 06897-0793
Phone (203) 762-5588

Other identifiers 1

IdentifierTypeStateIssuer
50WILTONMCT01OtherBLUE/CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346233079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068970793",
            "telephone_number": "203-762-5588",
            "fax_number": "203-761-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973012",
            "telephone_number": "203-762-5588",
            "fax_number": "203-761-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILTON MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISOUZA",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "230-762-5588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE/CROSS BLUE SHIELD",
            "identifier": "50WILTONMCT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.