Active NPI
Ross L Winakor, MD
- Family Medicine Physician
- Storrs, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 041425
- Practice address
- 34 Professional Park Rd.
Storrs, CT 06268 - Phone
- (860) 487-0002
- Fax
- (860) 429-1663
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 041425 | CT | Primary |
Addresses
Primary practice location
34 Professional Park Rd.
Storrs, CT 06268
Mailing address
34 Professional Park Rd.
Storrs, CT 06268
Phone (860) 487-0002
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041102000195 | CT | Practitioner - Family Practice | 9032171004 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041425 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mansfield Family Practice LLC | Family Medicine | Current | Accepting new patients |
| Physician Management Services of Connecticut, LLC | Family Medicine | Past | Accepting new patients |
Locations
34 Professional Park Rd
Storrs Mansfield, CT 06268
Phone (860) 429-2803
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71598
- ross.winakor@mfp.directbygreenway.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Storrs, CT
- NPI 1265546956
CT, Family Medicine
-
- Family Medicine Physician
- Storrs, CT
- NPI 1316614720
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tulane University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mansfield Family Practice LLC
Practice addresses (Care Compare)
34 Proffessional Park Rd
Storrs Mansfield, CT 06268-1659
Phone 8604870002109
Hospital & facility affiliations
- Hartford Healthcare at Home
- Windham Community Memorial Hospital
- Mansfield Center for Nursing and Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1720071681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PROFESSIONAL PARK RD.",
"city": "STORRS",
"state": "CT",
"postal_code": "06268",
"telephone_number": "860-487-0002",
"fax_number": "860-429-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 PROFESSIONAL PARK RD.",
"city": "STORRS",
"state": "CT",
"postal_code": "06268",
"telephone_number": "860-487-0002",
"fax_number": "860-429-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINAKOR",
"first_name": "ROSS",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "041425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Storrs, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.