Individual provider Active NPI

Victoria Gouveia, AUD

  • Audiologist
  • Trumbull, CT
National Provider Identifier
1730828203
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
15 Corporate Dr
Trumbull, CT 06611-1351
Phone
(203) 452-7081
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

15 Corporate Dr
Trumbull, CT 06611-1351

Mailing address

15 Corporate Dr
Trumbull, CT 06611-1351
Phone (203) 452-7081

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CTENT.EMA.MD Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804000079 CT Practitioner - Qualified Audiologist 4981086139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Corporate Dr
Suite 2 8
Trumbull, CT 06611-1351
Phone (203) 452-7081

Merit-based Incentive Payment System (MIPS)

Final score
98.71 of 100Reported as group
Quality
97.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
719CTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Ear Nose Throat Medical and Surgical Specialists PC CurrentSince Jul 18, 2022 Accepting new patients

Locations

15 Corporate Dr
Trumbull, CT 06611
Phone (203) 261-3980

15 Corporate Dr
Ste 28
Trumbull, CT 06611
Phone (203) 452-7081

15 Corporate Dr
Ste 2-8
Trumbull, CT 06611
Phone (203) 452-7081

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1730828203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-452-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-452-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUVEIA",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CTENT.EMA.MD",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Corporate Dr",
            "city": "Trumbull",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066111351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.