Renee Derosa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

56373 Issued in CT

Practice address

96 State Route 37
New Fairfield, CT 06812-4034

Phone

(203) 746-6000

Fax

(203) 746-0155

NPI assigned

Jul 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 Practice

Education

Tulane University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
• Danbury Hospital Hospital, Danbury, CT, CCN 070033
• Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Southbury Medical Associates, LLP

  • Internal Medicine Physician
  • Southbury, CT
  • NPI 1407984222
  NPD (past)

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

• Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
  • NPI 1003835935

  Hospital

  Care Compare affiliation
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  Care Compare affiliation
• Western Connecticut Home Care, Inc

  • Home Health Agency
  • Danbury, CT
  • NPI 1083677132
  Care Compare affiliation
• Putnam Hospital Center

  • General Acute Care Hospital
  • Carmel, NY
  • NPI 1972557379
  Care Compare affiliation

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780024703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 STATE ROUTE 37",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124034",
            "telephone_number": "203-746-6000",
            "fax_number": "203-746-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 STATE ROUTE 37",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124034",
            "telephone_number": "203-746-6000",
            "fax_number": "203-746-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 S Main St",
            "address_2": "Family Residency Program",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064573649",
            "country_code": "US",
            "telephone_number": "860-358-6300",
            "fax_number": "860-358-9249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "56373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut Dental Arts
• Justin Cole Corbelle, DC
• Cusack Applied Behavior Analysis
• Dave James ND Licensed Naturopathic Physician PLLC
• Taylor Debartolo
• Emily Ding
• Diane Dioguardi
• Caitlin Doody, A.P.R.N.
• Dr. Jonathans Acupuncture and Chiropractic Ctr. LLC
• Mary Lisa Dransfield, P.T.

• Family Medicine Physician in New Fairfield, CT
• Providers in New Fairfield, 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, 2018; 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.