Valentine Edusa, MD, FACOG

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

048753 Issued in CT

Practice address

2228 Black Rock Tpke Ste 211
Fairfield, CT 06825

Phone

(475) 888-0099

NPI assigned

Jul 8, 2008

Sex

Male

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: valentine.edusa@xdr.hhchealthdirect.org
• Direct secure messaging: valentine.edusa.1@17737.direct.athenahealth.com

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Obstetrics and Gynecology of Fairfield County, LLC

  • Obstetrics & Gynecology Physician
  • Fairfield, CT
  • NPI 1255524542
  NPD

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1588827653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 BLACK ROCK TPKE STE 211",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253237",
            "telephone_number": "475-888-0099",
            "fax_number": "475-888-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 BLACK ROCK TPKE STE 211",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06825",
            "telephone_number": "475-888-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDUSA",
        "first_name": "VALENTINE",
        "name_prefix": "Dr.",
        "credential": "MD, FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "048753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Early, MA, LPC, NCC
• Eben-Ezer Delivery & Transportation LLC
• Ana Patricia Echeverri, M.D.
• Rachel Edelman, CRNA
• Mark A Edinberg, PH.D.
• Edward Staub MD PC
• Heather Edwards, OT
• Kelsey Eidam, OTR/L
• Laurie J Eidt, PT
• Cynthia P Eigen, PHD

• Obstetrics & Gynecology Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Obstetrics & Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.