Individual provider Active NPI

Rouzi Shengelia, M.D.

  • Psychiatry Physician
  • Westport, CT
National Provider Identifier
1659781722
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
69410 Issued in CT
Practice address
500 Post Rd E
Westport, CT 06880-4431
Phone
(203) 635-8770
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 291974 NY
Psychiatry Physician 2084P0800X A168665 CA
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 69410 CT Primary

Addresses

Primary practice location

500 Post Rd E
Westport, CT 06880-4431

Mailing address

500 Post Rd E
Westport, CT 06880-4431
Phone (203) 635-8770

Other practice location 1

3217 Cohasset Rd
Chico, CA 95973-5404
Phone (530) 891-2850

Other identifiers 1

IdentifierTypeStateIssuer
1659781722MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180127000069 NY Practitioner - Psychiatry 1557621273 Reassigns benefits to 2 organizations
I20210924000391 CT Practitioner - Psychiatry 1557621273 Reassigns benefits to 1 organization
I20250522000764 CA Practitioner - Psychiatry 1557621273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians
County of ButteGroup PAC ID 3779489356, 29 clinicians

Practice addresses (Care Compare)

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214

82 Table Mountain Blvd
Oroville, CA 95965-3578
Phone (530) 538-7705

Hospital & facility affiliations

  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168665CAMDPsychiatry Physician
291974NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Physicians, PC Single Specialty CurrentSince Jan 3, 2023 Accepting new patients
County of Butte CurrentSince Mar 8, 2025 Accepting new patients
SBH Physicians, PC Single Specialty CurrentSince Jan 3, 2023 Accepting new patients
County of Butte CurrentSince Mar 8, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Single Specialty CurrentSince Sep 27, 2021 Accepting new patients
County of Butte Single Specialty Current Accepting new patients
Bronxcare Health System Single Specialty CurrentSince Dec 27, 2017 Accepting new patients
Bronxcare Health System CurrentSince Dec 27, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 27, 2021 Accepting new patients

Locations

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

82 Table Mountain Blvd
Oroville, CA 95965
Phone (530) 538-7705

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

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

47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801

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

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

111 E 210th St
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rshengelia21212@sbhny.direct-ci.net

Organizations & group practices 9

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 1

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1659781722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804431",
            "telephone_number": "203-635-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804431",
            "telephone_number": "203-635-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3217 Cohasset Rd",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959735404",
            "country_code": "US",
            "telephone_number": "530-891-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENGELIA",
        "first_name": "ROUZI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "291974",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A168665",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "69410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659781722",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.