Individual provider Active NPI

Carinne Wright Anderson, M.D.

  • Surgery Physician
  • Poughkeepsie, NY
National Provider Identifier
1902165277
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
288872 Issued in NY
Practice address
21 Reade PL
Poughkeepsie, NY 12601-3912
Phone
(845) 214-1840
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 70014 CT
Surgery Physician 208600000X 464434 PA
Surgery Physician 208600000X 288872 NY Primary

Addresses

Primary practice location

21 Reade PL
Poughkeepsie, NY 12601-3912

Mailing address

21 Reade PL FL 2
Poughkeepsie, NY 12601-3912
Phone (845) 214-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20191218002393 NY Practitioner - General Surgery 6002057239 Reassigns benefits to 1 organization
I20220129000009 CT Practitioner - General Surgery 6002057239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

20 Germantown Rd
Danbury, CT 06810-5023
Phone (203) 739-4820

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy44
Melanoma (skin cancer) excision38
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288872NYMDSurgery Physician
464434PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince Nov 30, 2019 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Surgery CurrentSince Jan 4, 2022 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

22 Old Waterbury Rd
Southbury, CT 06488
Phone (203) 262-4200

1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

21 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 214-1840

21 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 214-1880

21 Reade Pl
Ste 2100
Poughkeepsie, NY 12601
Phone (203) 863-0003

Interoperability endpoints

  • Direct secure messaging: carinne.anderson@direct.einstein.edu

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 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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1902165277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 READE PL FL 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013912",
            "telephone_number": "845-214-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013912",
            "telephone_number": "845-214-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CARINNE",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "70014",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "464434",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "288872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.