Active NPI
Josee Diane Cloutier, M.D.
- Family Medicine Physician
- Groton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 040820
- Practice address
- 1 Wahoo Ave
Groton, CT 06349-2324 - Phone
- (860) 694-1523
- NPI assigned
- Oct 25, 2006
- Last updated
- Feb 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 040820 | CT | Primary |
Addresses
Primary practice location
1 Wahoo Ave
Groton, CT 06349-2324
Mailing address
3 Highwood Rd
Niantic, CT 06357-1808
Phone (860) 389-2546
Other practice location 1
23 Church Ln # C
East Lyme, CT 06333-1621
Phone (860) 758-7888
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040820 | Other | CT | CONNECTICARE |
| 3581342 | Other | CT | AETNA |
| 5534978 | Other | CT | FIRST HEALTH |
| 2V4806 | Other | CT | HEALTH NET |
| P2706722 | Other | CT | OXFORD |
| 134273740 | Other | CT | COMMERCIAL PLANS |
| 9727325 | Other | CT | CIGNA |
| 010040820CT02 | Other | CT | ANTHEM BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
131 Boston Post Rd
Suite 14
East Lyme, CT 06333-1605
Phone (860) 691-0302
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040820 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England PC | Family Medicine | Current | Accepting new patients |
| Ipc Hospitalists of New England, P.C. | Family Medicine | Current | Accepting new patients |
| Hartford Healthcare Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| WRK Ventures, LLC | Past | Accepting new patients |
Locations
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
365 Montauk Ave
Rm 4
New London, CT 06320
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHADCD/Endpoint/AHADCD
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Groton, CT
- NPI 1538346846
-
- Pediatric Cardiology Physician
- Springfield, MA
- NPI 1821401761
CT, Family Medicine
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
Family Medicine
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Family Medicine
-
dba Urgent Care of Southbury
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lawrence and Memorial Hospital
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
dba Lawrence and Memorial Hospital
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1790860419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HIGHWOOD RD",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063571808",
"telephone_number": "860-389-2546",
"fax_number": "860-365-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WAHOO AVE",
"city": "GROTON",
"state": "CT",
"postal_code": "063492324",
"telephone_number": "860-694-1523"
}
],
"practiceLocations": [
{
"address_1": "23 Church Ln # C",
"address_purpose": "LOCATION",
"city": "East Lyme",
"state": "CT",
"postal_code": "063331621",
"country_code": "US",
"telephone_number": "860-758-7888",
"fax_number": "860-365-6961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOUTIER",
"first_name": "JOSEE",
"middle_name": "DIANE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "040820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "040820",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3581342",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5534978",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2V4806",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2706722",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL PLANS",
"identifier": "134273740",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9727325",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "010040820CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.