Individual provider Active NPI

Darlene S Negbenebor, M.D.

  • Specialist
  • Stamford, CT
National Provider Identifier
1891728853
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
043139 Issued in CT
Practice address
90 Morgan St
Suite 201
Stamford, CT 06905-5466
Phone
(203) 998-7400
Fax
(203) 358-4755
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 043139 CT Primary

Addresses

Primary practice location

90 Morgan St
Suite 201
Stamford, CT 06905-5466

Mailing address

90 Morgan St
Suite 201
Stamford, CT 06905-5466
Phone (203) 998-7400

Other identifiers 1

IdentifierTypeStateIssuer
001431395MedicaidCT

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
I20050815000327 CT Practitioner - Gastroenterology 6608806260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
State University of Ny Upstate Medical University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Gastroenterology IncGroup PAC ID 0648493601, 4 clinicians

Practice addresses (Care Compare)

90 Morgan St
Suite 301
Stamford, CT 06905-5436
Phone (203) 998-7400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043139CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Gastroenterology, Inc CurrentSince Apr 11, 2014 Accepting new patients
Dr.Vincent J Tumminello LLC PastSince Apr 6, 2013 Accepting new patients
Shoreline Medical, LLP PastSince Aug 7, 1999 Accepting new patients
Gastroenterology Associates of Fairfield P C Specialist Past Accepting new patients

Locations

90 Morgan St
Ste 201
Stamford, CT 06905
Phone (203) 325-8533

90 Morgan St
Ste 301
Stamford, CT 06905
Phone (203) 323-6050

Interoperability endpoints

  • Direct secure messaging: darlene.negbenebor.1@8322.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8322/brand/1/csg/1/fhir/r4

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 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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1891728853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MORGAN ST",
            "address_2": "SUITE 201",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055466",
            "telephone_number": "203-998-7400",
            "fax_number": "203-358-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MORGAN ST",
            "address_2": "SUITE 201",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055466",
            "telephone_number": "203-998-7400",
            "fax_number": "203-358-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGBENEBOR",
        "first_name": "DARLENE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "043139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001431395",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.