Individual provider Active NPI

Oksana Roytburg, APRN

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1699317412
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8486 Issued in CT
Practice address
500 Albany Ave
Hartford, CT 06120-2508
Phone
(860) 833-6607
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8486 CT Primary

Addresses

Primary practice location

500 Albany Ave
Hartford, CT 06120-2508

Mailing address

500 Albany Ave
Hartford, CT 06120-2508
Phone (860) 833-6607

Other practice location 1

76 pocahontas dr
west hartford, CT 06117
Phone (860) 833-6607

Other practice location 2

76 pocahontas dr
west hartford, CT 06117
Phone (860) 833-6607

Other names 1

  • Oksana Roytburg Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200121001587 CT Practitioner - Nurse Practitioner 6507291556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

631 Quaker S LN
West Hartford, CT 06110-1026
Phone (860) 231-6130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8486CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Services, Inc. CurrentSince Oct 12, 2020 Accepting new patients
Community Health Services, Inc. CurrentSince Oct 12, 2020 Accepting new patients
Prohealth Physicians PC Family Medicine CurrentSince Oct 10, 2022 Accepting new patients

Locations

21 South Rd
Ste 110
Farmington, CT 06032
Phone (860) 284-4945

500 Albany Ave
Hartford, CT 06120
Phone (860) 249-9625

631 S Quaker Ln
West Hartfrd, CT 06110
Phone (860) 231-6130

503 Windsor Ave
#511
Windsor, CT 06095
Phone (860) 297-8600

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: oksana.roytburg.npi1699317412.phpct@direct.optumcare.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1699317412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061202508",
            "telephone_number": "860-833-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061202508",
            "telephone_number": "860-833-6607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 pocahontas dr",
            "address_purpose": "LOCATION",
            "city": "west hartford",
            "state": "CT",
            "postal_code": "06117",
            "country_code": "US",
            "telephone_number": "860-833-6607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 pocahontas dr",
            "address_purpose": "LOCATION",
            "city": "west hartford",
            "state": "CT",
            "postal_code": "06117",
            "country_code": "US",
            "telephone_number": "860-833-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYTBURG",
        "first_name": "OKSANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OKSANA",
            "last_name": "ROYTBURG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.