Individual provider Active NPI

Jennifer Chovitch, D.O.

  • Family Medicine Physician
  • Norwalk, CT
National Provider Identifier
1689058695
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61187 Issued in CT
Practice address
637 West Ave
Norwalk, CT 06850-4004
Phone
(203) 276-7870
Fax
(203) 276-7883
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61187 CT Primary

Addresses

Primary practice location

637 West Ave
Norwalk, CT 06850-4004

Mailing address

637 West Ave
Norwalk, CT 06850-4004
Phone (203) 276-7870

Other identifiers 1

IdentifierTypeStateIssuer
008081297MedicaidCT

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
I20180801000584 CT Practitioner - Family Practice 8820346299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

372 Danbury Rd
Suite 180
Wilton, CT 06897-2523
Phone (203) 276-4015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Family Medicine CurrentSince Mar 21, 2022 Accepting new patients
Griffin Faculty Physicians, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Stamford Hospital PastSince May 1, 2022 Accepting new patients
The Griffin Hospital Past Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699

637 West Ave
Norwalk, CT 06850
Phone (203) 276-6126

110 Commerce Dr
Shelton, CT 06484
Phone (203) 426-5554

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

372 Danbury Rd
Ste 180
Wilton, CT 06897
Phone (203) 276-4015

Interoperability endpoints

  • Direct secure messaging: jchovitch24345@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1689058695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WEST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504004",
            "telephone_number": "203-276-7870",
            "fax_number": "203-276-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WEST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504004",
            "telephone_number": "203-276-7870",
            "fax_number": "203-276-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOVITCH",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "61187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008081297",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.