Active NPI
Lauren Bader, MD
- Pediatrics Physician
- Darien, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 053703
- Practice address
- 106 Noroton Ave
Department of Pediatrics
Darien, CT 06820-5237 - Phone
- (203) 655-9741
- NPI assigned
- Sep 6, 2014
- Last updated
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 053703 | CT | Primary |
Addresses
Primary practice location
106 Noroton Ave
Department of Pediatrics
Darien, CT 06820-5237
Mailing address
304 River Run
Greenwich, CT 06831-4166
Phone (203) 216-0275
Other practice location 1
34 Maple St
Norwalk, CT 06850-3815
Phone (860) 837-5506
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbader36163@connecticutchildrens.direct-ci.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161117000971 | CT | Practitioner - Pediatric Medicine | 2769761683 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053703 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children's Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
| Connecticut Children's Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
| Darien Pediatric Associates, LLC | Pediatrics | Past | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
60 Hartland St
East Hartford, CT 06108
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
Interoperability endpoints
- lbader36163@connecticutchildrens.direct-ci.com
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
Pediatrics
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Pediatrics Physician
- Darien, CT
- NPI 1578830584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1942601240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 RIVER RUN",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068314166",
"telephone_number": "203-216-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 NOROTON AVE",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "DARIEN",
"state": "CT",
"postal_code": "068205237",
"telephone_number": "203-655-9741"
}
],
"practiceLocations": [
{
"address_1": "34 Maple St",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CT",
"postal_code": "068503815",
"country_code": "US",
"telephone_number": "860-837-5506",
"fax_number": "860-837-5540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADER",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-06",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "053703",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbader36163@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "34 Maple St",
"city": "Norwalk",
"state": "CT",
"country_code": "US",
"postal_code": "068503815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.