Active NPI
A Aziz Richi, M.D.
- Surgery Physician
- Waterbury, CT
National Provider Identifier
1376646323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20067
- Practice address
- 1389 W Main St
Suite 322
Waterbury, CT 06708-3104 - Phone
- (203) 753-0877
- Fax
- (203) 759-1537
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 020067 | CT | |
| Surgery Physician | 208600000X | 20067 | CT | Primary |
Addresses
Primary practice location
1389 W Main St
Suite 322
Waterbury, CT 06708-3104
Mailing address
1389 W Main St
Suite 322
Waterbury, CT 06708-3104
Phone (203) 753-0877
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010020067CT04 | Other | CT | BC/BS |
| 2670447 | Other | CT | AETNA |
| 001200674 | Medicaid | CT | |
| 00120067401 | Other | CT | BC FAMILY |
| 2V0727 | Other | CT | HEALTHNET |
| 204997 | Other | CT | PREFERRED ONE NON-PAR |
| P381298 | Other | CT | OXFORD |
| 020067 | Other | CT | CONNECTICARE |
| 02043832 | Other | CT | NY MEDICAID, NON-PAR |
| CHN00724 | Other | CT | CHN, NON-PAR |
| 204997 | Other | CT | WELLCARE, NON-PAR |
| 608776300 | Other | CT | FECA DOL WC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020067 | CT | MD | Specialist |
Interoperability endpoints
- arichi@direct.wtbyhosp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1376646323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 W MAIN ST",
"address_2": "SUITE 322",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083104",
"telephone_number": "203-753-0877",
"fax_number": "203-759-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1389 W MAIN ST",
"address_2": "SUITE 322",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083104",
"telephone_number": "203-753-0877",
"fax_number": "203-759-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHI",
"first_name": "A",
"middle_name": "AZIZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "020067",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "20067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "010020067CT04",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2670447",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001200674",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC FAMILY",
"identifier": "00120067401",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V0727",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE NON-PAR",
"identifier": "204997",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P381298",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "020067",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAID, NON-PAR",
"identifier": "02043832",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHN, NON-PAR",
"identifier": "CHN00724",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE, NON-PAR",
"identifier": "204997",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FECA DOL WC",
"identifier": "608776300",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.