Emmanuel Kenta-Bibi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

047740 Issued in CT

Practice address

90 S Main St
Family Practice Group
Middletown, CT 06457-3649

Phone

(860) 358-6300

Fax

(860) 344-9249

NPI assigned

Jan 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Hospitalist

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Middlesex HospitalGroup PAC ID 5092611731, shared by 7 NPIs, 231 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesex Health Care at Home and Hospice Program Home health agency, Middletown, CT, CCN 077086
• Middlesex Health Care at Home & Hospice Program Hospice, Middletown, CT, CCN 071522
• Constellation Home Care Hospice, Norwalk, CT, CCN 071542
• Middlesex Hospital Hospital, Middletown, CT, CCN 070020
• Griffin Hospital Hospital, Derby, CT, CCN 070031
• Water'S Edge Center for Health & Rehabilitation Nursing home, Middletown, CT, CCN 075381

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekentabibi13403@middlesexhealthprd.direct-ci.com

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.

• Ekb Consulting LLC

  • Family Medicine Physician
  • New Britain, CT
  • NPI 1861816175
  Medicare reassignment NPD Authorized official
• Middlesex Hospital

  • Family Medicine Physician
  • Middletown, CT
  • NPI 1851350664
  Medicare reassignment NPD
• Middlesex Hospital

  • Family Nurse Practitioner
  • Middletown, CT
  • NPI 1972563138

  Family Medicine

  Medicare reassignment NPD
• Integrated Behavioral Care & Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1588376297
  NPD Authorized official
• Connecticut Pathology Group PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Middletown, CT
  • NPI 1740219625
  NPD
• Middlesex Hospital

  • Community Based Hospice Care Agency
  • Middletown, CT
  • NPI 1003873233

  Family Medicine

  NPD
• Middlesex Hospital

  • Psychiatry Physician
  • Middletown, CT
  • NPI 1760451041
  NPD
• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  NPD
• Absolute Outcomes, LLC

  • Internal Medicine Physician
  • Monroe, CT
  • NPI 1073746202
  NPD (past)
• Practitioner Support Services LLP

  • Nurse Practitioner
  • Monroe, CT
  • NPI 1114115706
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Middlesex Hospital

  • Home Health Agency
  • Middletown, CT
  • NPI 1194781328
  Care Compare affiliation Name & address match
• Constellation Home Care LLC

  • Community Based Hospice Care Agency
  • Orange, CT
  • NPI 1417239088
  Care Compare affiliation
• Harbor Hill Care Center, Inc.

  • Skilled Nursing Facility
  • Middletown, CT
  • NPI 1225121627

  Nursing home

  Care Compare affiliation
• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Care Compare affiliation
• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Care Compare affiliation

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1710163795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S MAIN ST",
            "address_2": "FAMILY PRACTICE GROUP",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573649",
            "telephone_number": "860-358-6300",
            "fax_number": "860-344-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S MAIN ST",
            "address_2": "FAMILY PRACTICE GROUP",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573649",
            "telephone_number": "860-358-6300",
            "fax_number": "860-344-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTA-BIBI",
        "first_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "047740",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "47740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "047740",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Kathryn Kell
• Gillian R. Kelly, D.M.D.,M.S.D.
• Mary Ann Kelly, APRN
• Michael Kelly, DMD
• Kate Kennedy, LCSW
• Eucharia Mambo Kenta-Bibi, MD
• Karen Keramidas, RN
• Richard M. Ketai, M.D.
• Kevin O'Shea, PSYD LLC
• Hilary Osga Khacherian, OTRL

• Family Medicine Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.