Individual provider Active NPI

Joao Ma Nascimento, MD

  • Rheumatology Physician
  • Bridgeport, CT
National Provider Identifier
1982616520
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
029415 Issued in CT
Practice address
3203 Main St
Bridgeport, CT 06606-4225
Phone
(203) 371-0009
Fax
(203) 371-0091
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 029415 CT
Rheumatology Physician 207RR0500X 029415 CT Primary

Addresses

Primary practice location

3203 Main St
Bridgeport, CT 06606-4225

Mailing address

3203 Main St
Bridgeport, CT 06606-4225
Phone (203) 371-0009

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
I20041117000578 CT Practitioner - RheumatologyPractitioner - Internal Medicine 0143284331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joao Nascimento MD LLCGroup PAC ID 6507001195, 2 clinicians

Practice addresses (Care Compare)

3203 Main St
Bridgeport, CT 06606-4225
Phone (203) 371-0009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029415CTMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joao M.a. Nascimento, M.D. Rheumatology CurrentSince Jan 1, 2007 Accepting new patients
Joao Nascimento MD LLC CurrentSince Jan 8, 2013 Accepting new patients

Locations

3203 Main St
Bridgeport, CT 06606
Phone (203) 371-0009

Organizations & group practices 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1982616520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064225",
            "telephone_number": "203-371-0009",
            "fax_number": "203-371-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064225",
            "telephone_number": "203-371-0009",
            "fax_number": "203-371-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASCIMENTO",
        "first_name": "JOAO",
        "middle_name": "MA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-06-18",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "029415",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "029415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.