NPIMap

Individual provider Active NPI

Stephen Urciuoli, MD

  • Internal Medicine Physician
  • Trumbull, CT
National Provider Identifier
1710926811
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
030027 Issued in CT
Practice address
999 Silver LN
3Rd Floor
Trumbull, CT 06611-5343
Phone
(203) 380-5270
Fax
(203) 380-5282
NPI assigned
Jun 5, 2006
Last updated
May 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 030027 CT Primary

Addresses

Primary practice location

999 Silver LN
3Rd Floor
Trumbull, CT 06611-5343

Mailing address

999 Silver LN
3Rd Floor
Trumbull, CT 06611-5343
Phone (203) 380-5270

Other identifiers 1

IdentifierTypeStateIssuer
001300277MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000472 CT Practitioner - Internal Medicine 3678528098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-3633

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

999 Silver LN
Trumbull, CT 06611-5343
Phone (203) 385-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030027CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jun 1, 2014 Accepting new patients

Locations

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

112 Quarry Rd
Ste 150
Trumbull, CT 06611
Phone (203) 385-1166

888 White Plains Rd
Ste 203
Trumbull, CT 06611
Phone (203) 459-0408

999 Silver Ln
Fl 3
Trumbull, CT 06611
Phone (203) 380-5270

999 Silver Ln
Ste 3A
Trumbull, CT 06611

Interoperability endpoints

  • Direct secure messaging: surciuoli7748@direct.ynhh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1710926811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SILVER LN",
            "address_2": "3RD FLOOR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115343",
            "telephone_number": "203-380-5270",
            "fax_number": "203-380-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SILVER LN",
            "address_2": "3RD FLOOR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115343",
            "telephone_number": "203-380-5270",
            "fax_number": "203-380-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URCIUOLI",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "030027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001300277",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.