Active NPI
Dale Rowett, M.D.
- Nephrology Physician
- Middletown, CT
National Provider Identifier
1629086319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 1155779
- Practice address
- 85 Church St
Middletown, CT 06457-3647 - Phone
- (860) 344-8606
- Fax
- (860) 344-8693
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 1155779 | CT | Primary |
Addresses
Primary practice location
85 Church St
Middletown, CT 06457-3647
Mailing address
20 High St
Groton, CT 06340-5752
Phone (860) 344-8608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4064721-1155779 | Medicaid | CT |
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 |
|---|---|---|---|
| 1155779 | CT | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midstate Nephrology Associates PC | Nephrology | 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.
-
- Nephrology Physician
- Middletown, CT
- NPI 1689877995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629086319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HIGH ST",
"city": "GROTON",
"state": "CT",
"postal_code": "063405752",
"telephone_number": "860-344-8608",
"fax_number": "860-344-8963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 CHURCH ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573647",
"telephone_number": "860-344-8606",
"fax_number": "860-344-8693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWETT",
"first_name": "DALE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "1155779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4064721-1155779",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.