Individual provider Active NPI

Adriana S Ghisa, MD

  • Internal Medicine Physician
  • Naugatuck, CT
National Provider Identifier
1467425371
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039570 Issued in CT
Practice address
305 Church St
Naugatuck, CT 06770-2836
Phone
(203) 729-6641
Fax
(203) 729-3206
NPI assigned
Feb 10, 2006
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 039570 CT Primary

Addresses

Primary practice location

305 Church St
Naugatuck, CT 06770-2836

Mailing address

1625 Straits Tpke
Suite #201
Middlebury, CT 06762-1805
Phone (203) 573-9512

Other identifiers 1

IdentifierTypeStateIssuer
001395707MedicaidCT

Other names 1

  • Adriana S Pintea Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aghisa44628@direct.stfranciscare.org Direct
Direct Messaging Address aghisa44628@direct.stfranciscare.org Direct

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
I20100115000439 CT Practitioner - Internal Medicine 6608918560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039570CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Dec 19, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Dec 19, 2021 Accepting new patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Alliance Medical Group of Greater Waterbury PC Internal Medicine Past Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1625 Straits Tpke
Ste 110
Middlebury, CT 06762
Phone (203) 758-8107

1625 Straits Tpke
Ste 302
Middlebury, CT 06762
Phone (203) 759-0666

170 Grandview Ave
Waterbury, CT 06708
Phone (203) 573-9512

Interoperability endpoints

  • Direct secure messaging: aghisa2389965@direct.trinity-health.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, 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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1467425371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 STRAITS TPKE",
            "address_2": "SUITE #201",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621805",
            "telephone_number": "203-573-9512",
            "fax_number": "203-568-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CHURCH ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702836",
            "telephone_number": "203-729-6641",
            "fax_number": "203-729-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHISA",
        "first_name": "ADRIANA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001395707",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aghisa44628@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health Of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "70 Hemmingway park Road",
            "city": "Watertown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aghisa44628@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "70 Hemmingway park Road",
            "city": "Watertown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "PINTEA",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.