Individual provider Active NPI

Diana Rachel Stern Ferrante, DO

  • Internal Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1972957819
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64216 Issued in CT
Practice address
267 Grant St.
Bridgeport, CT 06610
Phone
(203) 384-3000
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 64216 CT Primary

Addresses

Primary practice location

267 Grant St.
Bridgeport, CT 06610

Mailing address

1260 Silas Deane Hwy Ste 105a
Wethersfield, CT 06109-4363
Phone (860) 258-3464

Other identifiers 1

IdentifierTypeStateIssuer
58487MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018001851 CT Practitioner - Internal Medicine 7012261407 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5487CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Oct 1, 2019 Accepting new patients
Starling Physicians, PLLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Starling Physicians, PLLC PastSince Nov 10, 2019 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

2110 Silas Deane Hwy
Rocky Hill, CT 06067

1260 Silas Deane Hwy
Ste 105A
Wethersfield, CT 06109

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

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.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1972957819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY STE 105A",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094363",
            "telephone_number": "860-258-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST.",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06610",
            "telephone_number": "203-384-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRANTE",
        "first_name": "DIANA",
        "middle_name": "RACHEL STERN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "64216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58487",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.