Individual provider Active NPI

Kimberly Asante, MD

  • Pediatrics Physician
  • Old Greenwich, CT
National Provider Identifier
1952896599
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
68989 Issued in CT
Practice address
8 W End Ave
Old Greenwich, CT 06870-1642
Phone
(203) 637-3212
Fax
(203) 637-8312
NPI assigned
Jun 26, 2018
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 68989 CT Primary

Addresses

Primary practice location

8 W End Ave
Old Greenwich, CT 06870-1642

Mailing address

8 W End Ave
Old Greenwich, CT 06870-1642
Phone (203) 637-3212

Other names 1

  • Kimberly Dorso Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190322000511 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7416297742

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68989CTMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: kimberly.asante.1@11855.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1952896599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W END AVE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701642",
            "telephone_number": "203-637-3212",
            "fax_number": "203-637-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W END AVE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701642",
            "telephone_number": "203-637-3212",
            "fax_number": "203-637-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASANTE",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "68989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DORSO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Greenwich, CT

Sources for this page

Verify at the official NPI Registry.