Active NPI
Renee C Casey, M.D.
- Pediatrics Physician
- Milford, CT
National Provider Identifier
1376734343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1.048749
- Practice address
- 88 Noble Ave Ste 101
Milford, CT 06460-4738 - Phone
- (203) 874-2800
- NPI assigned
- Aug 6, 2007
- Last updated
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1.048749 | CT | Primary |
Addresses
Primary practice location
88 Noble Ave Ste 101
Milford, CT 06460-4738
Mailing address
31 Riverside Dr
Milford, CT 06461-3917
Phone (203) 687-6311
Other practice location 1
3180 Main St
Bridgeport, CT 06606-4237
Phone (203) 371-7111
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.048749 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimus Health Care Inc | Current | Accepting new patients | |
| Preferred Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864
982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Bridgeport, CT
- NPI 1669445946
-
- Pediatrics Physician
- Milford, CT
- NPI 1467694380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1376734343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 RIVERSIDE DR",
"city": "MILFORD",
"state": "CT",
"postal_code": "064613917",
"telephone_number": "203-687-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 NOBLE AVE STE 101",
"city": "MILFORD",
"state": "CT",
"postal_code": "064604738",
"telephone_number": "203-874-2800"
}
],
"practiceLocations": [
{
"address_1": "3180 Main St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066064237",
"country_code": "US",
"telephone_number": "203-371-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASEY",
"first_name": "RENEE",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "1.048749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.