Individual provider Active NPI

Richard John Sekerak, M.D.

  • Internal Medicine Physician
  • Milford, CT
National Provider Identifier
1780790584
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
030394 Issued in CT
Practice address
199 Cherry St
Milford, CT 06460-3501
Phone
(203) 874-2543
Fax
(203) 874-2544
NPI assigned
Aug 22, 2006
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 030394 CT Primary

Addresses

Primary practice location

199 Cherry St
Milford, CT 06460-3501

Mailing address

1290 Silas Deane Hwy FL 1
Wethersfield, CT 06109-4337
Phone (860) 972-6970

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000874 CT Practitioner - Internal Medicine 5092734574 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
Prohealth Physicians PC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Sekerak M.D. & Tristine M.D., PC Internal Medicine PastSince Mar 24, 2005 Accepting new patients

Locations

2660 Main St
Ste 210
Bridgeport, CT 06606
Phone (203) 334-2246

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

199 Cherry St
Milford, CT 06460
Phone (203) 874-2543

5520 Park Ave
Ste 208
Trumbull, CT 06611
Phone (203) 368-1192

1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1780790584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY FL 1",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-6970",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603501",
            "telephone_number": "203-874-2543",
            "fax_number": "203-874-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKERAK",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "030394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.