Active NPI
Philip Rufus Raiford, M.D.
- Family Medicine Physician
- Danielson, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 031486
- Practice address
- 45 Green Hollow Rd
Danielson, CT 06239-3509 - Phone
- (860) 774-1255
- Fax
- (860) 779-2059
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 031486 | CT | Primary |
Addresses
Primary practice location
45 Green Hollow Rd
Danielson, CT 06239-3509
Mailing address
45 Green Hollow Rd
Danielson, CT 06239-3509
Phone (860) 774-1255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001314864 | Medicaid | CT |
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 |
|---|---|---|---|---|
| I20080731000057 | CT | Practitioner - Family Practice | 0648344275 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031486 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England, P.C. | Family Medicine | Current | Accepting new patients |
| Ipc Hospitalists of New England PC | Family Medicine | Current | Accepting new patients |
| Ipc Hospitalists of New England, P.C. | Family Medicine | Current | Accepting new patients |
Locations
23 Fair St
Bristol, CT 06010
Phone (860) 347-6300
169 Davenport Ave
New Haven, CT 06519
Phone (203) 789-1650
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650
88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471
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 and National Provider Directory roles.
-
- Pediatric Cardiology Physician
- Springfield, MA
- NPI 1821401761
CT, Family Medicine
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
Family Medicine
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1659555266
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1962487983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 GREEN HOLLOW RD",
"city": "DANIELSON",
"state": "CT",
"postal_code": "062393509",
"telephone_number": "860-774-1255",
"fax_number": "860-779-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 GREEN HOLLOW RD",
"city": "DANIELSON",
"state": "CT",
"postal_code": "062393509",
"telephone_number": "860-774-1255",
"fax_number": "860-779-2059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIFORD",
"first_name": "PHILIP",
"middle_name": "RUFUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "031486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001314864",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danielson, CT
- Patricia Placido, LCSW
- Planned Parenthood of CT, Inc
- Vasileios Petros Politis, PTA
- Anthony John Purcell, D.O.
- Quiet Corner Chiropractic and Wellness Center, LLC
- Regency Heights of Danielson, LLC
- Regeneration Therapy and Counseling LLC
- Nathan Restor, LPCA
- Rethink Therapy LLC
- Brittany Sue Reynolds, RDH, PHDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.