Individual provider Active NPI

Clifford D Stirba, MD

  • Infectious Disease Physician
  • Norwich, CT
National Provider Identifier
1801897665
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
021694 Issued in CT
Practice address
7 Cuprak Rd
Norwich, CT 06360-2007
Phone
(860) 887-9865
NPI assigned
Aug 2, 2005
Last updated
Nov 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 021694 CT Primary

Addresses

Primary practice location

7 Cuprak Rd
Norwich, CT 06360-2007

Mailing address

7 Cuprak Rd
Norwich, CT 06360-2007
Phone (860) 887-9865

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
I20100224000266 CT Practitioner - Internal MedicinePractitioner - Infectious Disease 5597809814 Reassigns benefits to 2 organizations
Practice locations: Norwich, CT

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Perelman School of Med at the University of Pennsylvania, 1971
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740

7 Cuprak Rd
Norwich, CT 06360-2007
Phone (860) 887-9865

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021694CTMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital Current Accepting new patients
The William W Backus Hospital CurrentSince Oct 30, 2017 Accepting new patients
William W Backus Hospital CurrentSince Oct 30, 2017 Accepting new patients

Locations

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

Interoperability endpoints

  • Direct secure messaging: clifford.stirba@xdr.hhchealthdirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1801897665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CUPRAK RD",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602007",
            "telephone_number": "860-887-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CUPRAK RD",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602007",
            "telephone_number": "860-887-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIRBA",
        "first_name": "CLIFFORD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "021694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.