Martha Severino, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

040024 Issued in CT

Practice address

67 Sand Pit Rd Ste 202
Danbury, CT 06810-4032

Phone

(203) 778-5500

Fax

(203) 778-1427

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martha.severino.npi1427016104.phpct@direct.optumcare.masshiway.net

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.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053

  Internal Medicine

  Medicare reassignment NPD
• Martha Severino, MD PLLC

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1326006909
  NPD (past) Authorized official
• Danbury Medical Group LLC

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1114047024
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1427016104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD STE 202",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-778-5500",
            "fax_number": "203-778-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD STE 202",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-778-5500",
            "fax_number": "203-778-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERINO",
        "first_name": "MARTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana G Servetnick, LMSW
• Service Aides, Inc.
• Amy Noelle Setesak, RN
• Sakshi Sethi, MD
• Jennifer Park Severenko
• William Keith Shafto, PA-C
• Abhijit Shah
• Drishti Nimesh Shah, M.D.
• Imam Ali Shah, MBBS
• Khushali Shah

• Internal Medicine Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.

Verify at the official NPI Registry.