Individual provider Active NPI

Fred Yeo, MD

  • Internal Medicine Physician
  • Groton, CT
National Provider Identifier
1881686616
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54505 Issued in CT
Practice address
Nhcne Groton
Groton, CT 06340
Phone
(860) 694-6481
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0061109 MD
Internal Medicine Physician 207R00000X 54505 CT Primary
Internal Medicine Physician 207R00000X D0061109 MD
Internal Medicine Physician 207R00000X MD15165 RI

Addresses

Primary practice location

Nhcne Groton
Groton, CT 06340

Mailing address

86 School St
Groton, CT 06340-3941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201116001505 CT Practitioner - Internal Medicine 0244641660 Reassigns benefits to 3 organizations
I20221206002097 RI Practitioner - Internal Medicine 0244641660 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54505CTMDInternal Medicine Physician
D0061109MDMDInternal Medicine Physician
MD15165RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Pacs 2 PC CurrentSince Oct 10, 2022 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 10, 2022 Accepting new patients
Rhode Island Post Acute Medical Services 1 PC CurrentSince Oct 10, 2022 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Connecticut Post Acute Medical Services 1 PC CurrentSince Oct 19, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 Church St
Middletown, CT 06457
Phone (860) 347-3786

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

88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

546 Main St
Coventry, RI 02816
Phone (401) 596-2664

161 Post Rd
Westerly, RI 02891
Phone (401) 322-8081

79 Beach St
Westerly, RI 02891
Phone (401) 596-4925

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
FairviewGroton, CT, CCN 075288 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 2024
Feb 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1881686616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 SCHOOL ST",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NHCNE GROTON",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-694-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEO",
        "first_name": "FRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0061109",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "54505",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0061109",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD15165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.