NPIMap

Individual provider Active NPI

Rebecca Marin Scandrett, M.D.

  • Interventional Cardiology Physician
  • Waterbury, CT
National Provider Identifier
1972720522
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
041679 Issued in CT
Practice address
1320 W Main St
Waterbury, CT 06708-3119
Phone
(203) 709-7300
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 041679 CT
Interventional Cardiology Physician 207RI0011X 041679 CT Primary

Addresses

Primary practice location

1320 W Main St
Waterbury, CT 06708-3119

Mailing address

1320 W Main St
Waterbury, CT 06708-3119
Phone (203) 709-7300

Other identifiers 5

IdentifierTypeStateIssuer
0900735OtherCTCIGNA
1200999OtherCTUSA MANAGED CARE
1972720522MedicaidCT
7683929OtherCTAETNA
1972720522OtherCTANTHEM BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rscandrett63745@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000336 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9830284926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Rutgers New Jersey Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041679CTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
Eastern Conn. Cardiology Group Cardiovascular Disease CurrentSince May 1, 2008 Accepting new patients
Yale University CurrentSince Feb 7, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Cardiovascular Disease CurrentSince Dec 19, 2021 Accepting new patients
Eastern CT Cardiology Diagnostics, LLC Cardiovascular Disease PastSince May 1, 2008 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

1320 W Main St
Waterbury, CT 06708
Phone (203) 709-7300

196 Parkway S
#103
Waterford, CT 06385
Phone (860) 443-3980

Interoperability endpoints

  • Direct secure messaging: rscandrett33444@direct.ynhh.org

Organizations & group practices 6

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 6

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1972720522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083119",
            "telephone_number": "203-709-7300",
            "fax_number": "203-709-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083119",
            "telephone_number": "203-709-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANDRETT",
        "first_name": "REBECCA",
        "middle_name": "MARIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "041679",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CT",
            "license": "041679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0900735",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "1200999",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972720522",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7683929",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "1972720522",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rscandrett63745@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1320 W Main St",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067083119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.