NPIMap

Individual provider Active NPI

Marc A Ciampi, M.D.

  • Nephrology Physician
  • Waterbury, CT
National Provider Identifier
1366444135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
037620 Issued in CT
Practice address
140 Grandview Ave
Suite 104
Waterbury, CT 06708-2505
Phone
(203) 597-9733
Fax
(203) 597-9732
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 037620 CT Primary

Addresses

Primary practice location

140 Grandview Ave
Suite 104
Waterbury, CT 06708-2505

Mailing address

140 Grandview Ave
Suite 104
Waterbury, CT 06708-2505
Phone (203) 597-9733

Other identifiers 1

IdentifierTypeStateIssuer
001376202MedicaidCT

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
I20090805000115 CT Practitioner - NephrologyPractitioner - Internal Medicine 2264585488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Creighton University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Kidney and Hypertension Specialists, LLCGroup PAC ID 7315090735, 6 clinicians

Practice addresses (Care Compare)

140 Grandview Ave
Suite 101
Waterbury, CT 06708-2518
Phone (203) 597-9733

Hospital & facility affiliations

  • DaVita Greater Waterbury Dialysis Dialysis facility, Waterbury, CT, CCN 072511
  • DaVita Waterbury Dialysis Center Dialysis facility, Waterbury, CT, CCN 072533
  • Waterbury Hospital Hospital, Waterbury, CT, CCN 070005
  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Merit-based Incentive Payment System (MIPS)

Final score
22.13 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037620CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Kidney & Hypertension Specialists, LLC Nephrology CurrentSince Jun 1, 2009 Accepting new patients
Joseph L Renda Nephrology Past Accepting new patients

Locations

140 Grandview Ave
Ste 101
Waterbury, CT 06708
Phone (203) 573-7284

140 Grandview Ave
Ste 104
Waterbury, CT 06708
Phone (203) 597-9733

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366444135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE",
            "address_2": "SUITE 104",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082505",
            "telephone_number": "203-597-9733",
            "fax_number": "203-597-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE",
            "address_2": "SUITE 104",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082505",
            "telephone_number": "203-597-9733",
            "fax_number": "203-597-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAMPI",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "037620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001376202",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.