Individual provider Active NPI

Mauricio Rodrigues Loureiro Silva, M.D., PH.D.

  • Internal Medicine Physician
  • Naugatuck, CT
National Provider Identifier
1609162197
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53116 Issued in CT
Practice address
305 Church St Ste 15
Naugatuck, CT 06770-2836
Phone
(203) 729-6641
Fax
(203) 575-5206
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 248448 MA
Internal Medicine Physician 207R00000X 53116 CT Primary

Addresses

Primary practice location

305 Church St Ste 15
Naugatuck, CT 06770-2836

Mailing address

85 Lafayette Street
New Britain, CT 06051-2016
Phone (860) 224-3642

Other practice location 1

85 Lafayette Street
New Britain, CT 06051-2016
Phone (860) 224-3642

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
I20161010000555 CT Practitioner - Internal Medicine 9032335120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

305 Church St
Suite 15
Naugatuck, CT 06770-2836
Phone (203) 729-6641

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248448MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

1625 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 573-9512

305 Church St
Ste 15
Naugatuck, CT 06770
Phone (203) 262-6797

Interoperability endpoints

  • Direct secure messaging: mauriciosilva@amggw.allscriptsdirect.net

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.

Hospital & facility affiliations 2

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609162197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LAFAYETTE STREET",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512016",
            "telephone_number": "860-224-3642",
            "fax_number": "860-224-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CHURCH ST STE 15",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702836",
            "telephone_number": "203-729-6641",
            "fax_number": "203-575-5206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Lafayette Street",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060512016",
            "country_code": "US",
            "telephone_number": "860-224-3642",
            "fax_number": "860-224-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MAURICIO",
        "middle_name": "RODRIGUES LOUREIRO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "248448",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "53116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.