Individual provider Active NPI

Nila Grace Aburto, MD

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1396325718
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
77669 Issued in CT
Practice address
292 Long Ridge Rd Ste 103
Stamford, CT 06902-1627
Phone
(203) 348-9455
Fax
(203) 348-9183
NPI assigned
Apr 9, 2021
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 77669 CT Primary

Addresses

Primary practice location

292 Long Ridge Rd Ste 103
Stamford, CT 06902-1627

Mailing address

292 Long Ridge Rd Ste 103
Stamford, CT 06902-1627

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
I20240730001430 CT Practitioner - Internal Medicine 7214474063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

292 Long Ridge Rd
Suite 103
Stamford, CT 06902-1627
Phone (203) 348-9455

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients

Locations

292 Long Ridge Rd
#103
Stamford, CT 06902
Phone (203) 348-9455

292 Long Ridge Rd
Ste 103
Stamford, CT 06902
Phone (203) 348-9455

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA
  • Direct secure messaging: naburto23339@stamfordhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1396325718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD STE 103",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD STE 103",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627",
            "telephone_number": "203-348-9455",
            "fax_number": "203-348-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABURTO",
        "first_name": "NILA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "77669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.