Raymond E Winicki, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

040374 Issued in CT

Practice address

171 Grandview Ave
Ste 201
Waterbury, CT 06708-2520

Phone

(203) 578-4630

Fax

(203) 578-4629

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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

Otolaryngology

Education

New York University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Naugatuck Valley Ear, Nose and Throat Associates, LLCGroup PAC ID 7012045107, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Mary's Hospital Hospital, Waterbury, CT, CCN 070016
• Waterbury Hospital Hospital, Waterbury, CT, CCN 070005

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwinicki@direct.wtbyhosp.org

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.

• Naugatuck Valley Ear, Nose and Throat Associates, LLC

  • Otolaryngology Physician
  • Waterbury, CT
  • NPI 1326362799
  Medicare reassignment Care Compare group NPD Authorized official
• Connecticut ENT Allergy & Sinus PLLC

  • Otolaryngology Physician
  • Waterbury, CT
  • NPI 1619819992
  NPD Authorized official

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

• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641
  Care Compare affiliation
• Saint Mary's Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1720083421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 GRANDVIEW AVE",
            "address_2": "SUITE 201",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082520",
            "telephone_number": "203-578-4630",
            "fax_number": "203-578-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 GRANDVIEW AVE",
            "address_2": "STE 201",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082520",
            "telephone_number": "203-578-4630",
            "fax_number": "203-578-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINICKI",
        "first_name": "RAYMOND",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "040374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001403740",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvent@allmedsccd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "171 Grandview Ave",
            "address_2": "Ste 201",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067082520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Naa Adaawah Wilson-Kumi, CRNA
• Cheryl Lynn Wilson, MSW
• Irene F Wilson
• Donna M Windish, MD
• Alizae Wineglass, LPC-A
• Charis Wipfler
• Wishart Homecare Agency LLC (Wishart home care)
• Rachelle Wisotsky, BCBA
• Within Reach LLC
• Lynette Wittmer

• Otolaryngology Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Otolaryngology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.