Organization Active NPI

Dr Carolyn Couture Personalized Medical Care PLLC

  • Internal Medicine Physician
  • Wilton, CT
National Provider Identifier
1780392555
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR CAROLYN COUTURE PERSONALIZED MEDICAL CARE PLLC
Practice address
35 Old Ridgefield Rd
Wilton, CT 06897-3060
Phone
(203) 241-4848
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Dr. Carolyn Marie Couture, MDNPI 1730173527
Title
Owner
Phone
(203) 762-6233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

35 Old Ridgefield Rd
Wilton, CT 06897-3060

Mailing address

35 Old Ridgefield Rd
Wilton, CT 06897-3060
Phone (203) 762-6233

Other identifiers 2

IdentifierTypeStateIssuer
042321MedicaidCT
1730173527MedicaidCT

Other names 1

  • Dr. Carolyn Couture Personalized Medical Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230113000601 CT Part B Supplier - Clinic/Group Practice 3072984889 Receives reassigned benefits from 1 practitioner
Practice locations: Wilton, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D1060053Dr Carolyn Couture Personalized Medical Care35 Old Ridgefield Rd, Wilton, CT 06897Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory

Locations

35 Old Ridgefield Rd
Wilton, CT 06897
Phone (203) 241-4848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1780392555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973060",
            "telephone_number": "203-762-6233",
            "fax_number": "203-762-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973060",
            "telephone_number": "203-241-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CAROLYN COUTURE PERSONALIZED MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "COUTURE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-762-6233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042321",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730173527",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Carolyn Couture Personalized Medical Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dr. Carolyn Couture Personalized Medical Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.