Individual provider Active NPI

Jessica Foertsch, DO

  • Pediatrics Physician
  • Wilton, CT
National Provider Identifier
1427614817
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
71658 Issued in CT
Practice address
55 Danbury Rd
Wilton, CT 06897-4427
Phone
(203) 762-3363
Fax
(631) 376-3420
NPI assigned
May 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 71658 CT Primary

Addresses

Primary practice location

55 Danbury Rd
Wilton, CT 06897-4427

Mailing address

55 Danbury Rd
Wilton, CT 06897-4427
Phone (203) 762-3363

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
I20240716002025 CT Practitioner - Pediatric Medicine 9335477801 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince May 9, 2024 Accepting new patients
Starling Physicians, PLLC CurrentSince May 9, 2024 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

Interoperability endpoints

  • Direct secure messaging: jessica.foertsch@xdr.hhchealthdirect.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1427614817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974427",
            "telephone_number": "203-762-3363",
            "fax_number": "631-376-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974427",
            "telephone_number": "203-762-3363",
            "fax_number": "631-376-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOERTSCH",
        "first_name": "JESSICA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-12",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "71658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.