Individual provider Active NPI

Stephen G Ducey, MD

  • Internal Medicine Physician
  • New London, CT
National Provider Identifier
1841394137
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
031021 Issued in CT
Practice address
447 Montauk Avenue
New London, CT 06320
Phone
(860) 447-1426
Fax
(860) 447-0348
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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 031021 CT Primary

Addresses

Primary practice location

447 Montauk Avenue
New London, CT 06320

Mailing address

447 Montauk Avenue
New London, CT 06320
Phone (860) 447-1426

Other identifiers 1

IdentifierTypeStateIssuer
1310218MedicaidCT

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
I20040521000764 CT Practitioner - Internal Medicine 1153312749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031021CTMDInternal Medicine Physician
16051RIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Medical Services of Northern Connecticut, P.C. CurrentSince Feb 1, 2008 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Nov 18, 2009 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Nov 18, 2009 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. CurrentSince Feb 1, 2008 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine Current Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Interoperability endpoints

  • Direct secure messaging: sducey187144@direct.ynhh.org

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1841394137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 MONTAUK AVENUE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-447-1426",
            "fax_number": "860-447-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 MONTAUK AVENUE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-447-1426",
            "fax_number": "860-447-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCEY",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "031021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310218",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.