Active NPI
Raymond L D'Amato, M.D.
- Internal Medicine Physician
- Cromwell, CT
National Provider Identifier
1477555787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017716
- Practice address
- 136 Berlin Rd
Suite 102
Cromwell, CT 06416-2627 - Phone
- (860) 635-2810
- Fax
- (860) 632-2352
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017716 | CT | Primary |
Addresses
Primary practice location
136 Berlin Rd
Suite 102
Cromwell, CT 06416-2627
Mailing address
300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 224-6200
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01217716 | Other | CT | CIGNA ID |
| 060916784009 | Other | CT | TRICARE HNFS ID |
| P369835 | Other | CT | OXFORD PROVIDER ID |
| 060078 | Other | CT | HEALTH NET ID |
| 010017716CT02 | Other | CT | BCBS COMMERCIAL N BCFP ID |
| 050843 | Other | CT | CONNECTICARE ID |
| 1255448155 | Other | CT | GHMC GRP NPI ID |
| 501435 | Other | CT | AETNA PROVIDER ID |
| 912611 | Other | CT | HEALTH NET REFERRAL ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017716 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Physicians, PLLC | Past | Accepting new patients |
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.
-
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477555787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 KENSINGTON AVE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060513916",
"telephone_number": "860-224-6200",
"fax_number": "860-224-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 BERLIN RD",
"address_2": "SUITE 102",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162627",
"telephone_number": "860-635-2810",
"fax_number": "860-632-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AMATO",
"first_name": "RAYMOND",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "017716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "01217716",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE HNFS ID",
"identifier": "060916784009",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER ID",
"identifier": "P369835",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET ID",
"identifier": "060078",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS COMMERCIAL N BCFP ID",
"identifier": "010017716CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE ID",
"identifier": "050843",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHMC GRP NPI ID",
"identifier": "1255448155",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "501435",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET REFERRAL ID",
"identifier": "912611",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.