Individual provider Active NPI

Faustinus C Onyirimba, MD

  • Pulmonary Disease Physician
  • Vernon, CT
National Provider Identifier
1831145549
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036324 Issued in CT
Practice address
27 Naek Rd
Suite 2
Vernon, CT 06066-3942
Phone
(860) 875-2444
NPI assigned
May 25, 2006
Last updated
Feb 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036324 CT Primary

Addresses

Primary practice location

27 Naek Rd
Suite 2
Vernon, CT 06066-3942

Mailing address

27 Naek Road
Suite 2
Vernon, CT 06066
Phone (860) 875-2444

Other identifiers 1

IdentifierTypeStateIssuer
001363241MedicaidCT

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
I20031110000545 CT Practitioner - Pulmonary DiseasePractitioner - Allergy/Immunology 2769395342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Allergy/Immunology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeastern Pulmonary Associates LLCGroup PAC ID 6608866983, 5 clinicians
Northeastern Asthma and Allergy Associates LLCGroup PAC ID 5698868537, 3 clinicians

Practice addresses (Care Compare)

27 Naek Rd
Suite 2
Vernon, CT 06066-3965
Phone (860) 875-2444

330 Pomfret St
Putnam, CT 06260-1854
Phone (860) 928-5864

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036324CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Asthma & Allergy Associates, LLC Pulmonary Disease CurrentSince Jul 23, 2007 Accepting new patients
Northeastern Pulmonary Associates LLC Pulmonary Disease CurrentSince Oct 1, 2000 Accepting new patients

Locations

330 Pomfret St
Putnam, CT 06260
Phone (860) 928-2736

27 Naek Rd
Ste 2
Vernon Rockville, CT 06066
Phone (860) 875-2444

Organizations & group practices 2

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1831145549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NAEK ROAD",
            "address_2": "SUITE 2",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "06066",
            "telephone_number": "860-875-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NAEK RD",
            "address_2": "SUITE 2",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663942",
            "telephone_number": "860-875-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYIRIMBA",
        "first_name": "FAUSTINUS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "036324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001363241",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.