Active NPI
Drew Danielle Beaubian, MD
- Emergency Medicine Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1.078911
- Practice address
- 263 Farmington Ave # Lg065
Farmington, CT 06030-0001 - Phone
- (860) 679-4988
- Fax
- (860) 679-3489
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 1.078911 | CT | Primary |
Addresses
Primary practice location
263 Farmington Ave # Lg065
Farmington, CT 06030-0001
Mailing address
263 Farmington Ave
Farmington, CT 06030-1921
Phone (860) 679-2147
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250113003216 | CT | Practitioner - Emergency Medicine | 4486182870 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- City University of New York School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121
326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500
Hospital & facility affiliations
- William W Backus Hospital
- The Hospital of Central Connecticut
- Hartford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.078911 | CT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Emergency Medicine | Current | Accepting new patients |
| The William W Backus Hospital | Current | Accepting new patients | |
| The William W Backus Hospital | Current | Accepting new patients | |
| William W Backus Hospital | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients |
Locations
263 Farmington Ave
#65
Farmington, CT 06030
Phone (860) 679-4988
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
582 Norwich Rd
Plainfield, CT 06374
Phone (860) 230-2830
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
CT
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1366029480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060301921",
"telephone_number": "860-679-2147",
"fax_number": "860-679-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE # LG065",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-4988",
"fax_number": "860-679-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUBIAN",
"first_name": "DREW",
"middle_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "1.078911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.