Individual provider Active NPI

Joseph St. Pierre II, DO

  • Obesity Medicine (Internal Medicine) Physician
  • Shelton, CT
National Provider Identifier
1588028294
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
70550 Issued in CT
Practice address
2 Trap Falls Rd Ste 100
Shelton, CT 06484-4616
Phone
(203) 332-4744
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019022538 MO
Internal Medicine Physician 207R00000X 0102205437 VA
Student in an Organized Health Care Education/Training Program 390200000X
Obesity Medicine (Internal Medicine) Physician 207RB0002X 70550 CT Primary
Internal Medicine Physician 207R00000X 70550 CT

Addresses

Primary practice location

2 Trap Falls Rd Ste 100
Shelton, CT 06484-4616

Mailing address

2 Trap Falls Rd Ste 100
Shelton, CT 06484-4616
Phone (203) 332-4744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201110001079 VA Practitioner - Internal Medicine 6204180581 Reassigns benefits to 1 organization
I20220728003477 CT Practitioner - Internal Medicine 6204180581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

60 Danbury Rd
Suite 101
Wilton, CT 06897-4406
Phone (203) 926-8835

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102205437VAMDInternal Medicine Physician
70550CTMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Oct 30, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Oct 30, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

1262 Post Rd
Fairfield, CT 06824
Phone (203) 259-3440

2 Trap Falls Rd
Ste 100
Shelton, CT 06484
Phone (203) 332-4744

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1505 Post Rd E
Ste 102
Westport, CT 06880
Phone (203) 221-3830

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

60 Danbury Rd
Ste 101
Wilton, CT 06897
Phone (203) 926-8835

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

10945 George Mason Cir
Ste 105
Manassas, VA 20110
Phone (703) 361-5116

Interoperability endpoints

  • Direct secure messaging: joseph.st.pierre@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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1588028294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 100",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844616",
            "telephone_number": "203-332-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 100",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844616",
            "telephone_number": "203-332-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. PIERRE",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2019022538",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102205437",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CT",
            "license": "70550",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "70550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.