Individual provider Active NPI

Raquel Rozner, M.D.

  • Gastroenterology Physician
  • Stratford, CT
National Provider Identifier
1396276366
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
75529 Issued in CT
Practice address
2890 Main St
Stratford, CT 06614-4980
Phone
(203) 384-4677
Fax
(203) 384-3135
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 295924 NY
Hepatology Physician 207RI0008X 75529 CT
Gastroenterology Physician 207RG0100X 75529 CT Primary

Addresses

Primary practice location

2890 Main St
Stratford, CT 06614-4980

Mailing address

2890 Main St
Stratford, CT 06614-4980
Phone (203) 384-4677

Other practice location 1

327 Riverside Ave
Westport, CT 06880-4821
Phone (203) 221-3030

Other practice location 2

1152 Kings Highway Cutoff
Fairfield, CT 06824-5271
Phone (203) 256-5500

Other practice location 3

5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 261-7262

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807003858 CT Practitioner - Gastroenterology 0042635211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

2890 Main St
Stratford, CT 06614-4980
Phone (203) 375-1200

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295924NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

1152 Kings Highway Cutoff
Fairfield, CT 06824
Phone (203) 256-5500

20 York St
North Haven, CT 06510
Phone (203) 688-2433

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

2890 Main St
Stratford, CT 06614
Phone (203) 375-1200

5520 Park Ave
Trumbull, CT 06611
Phone (203) 334-7400

327 Riverside Ave
Westport, CT 06880
Phone (203) 221-3030

Interoperability endpoints

  • Direct secure messaging: rrozner463945@direct.ynhh.org

Organizations & group practices 1

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 4

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1396276366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144980",
            "telephone_number": "203-384-4677",
            "fax_number": "203-384-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144980",
            "telephone_number": "203-384-4677",
            "fax_number": "203-384-3135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068804821",
            "country_code": "US",
            "telephone_number": "203-221-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1152 Kings Highway Cutoff",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245271",
            "country_code": "US",
            "telephone_number": "203-256-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5520 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066113463",
            "country_code": "US",
            "telephone_number": "203-261-7262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZNER",
        "first_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "295924",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CT",
            "license": "75529",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "75529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.