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DANBURY MEDICAL GROUP LLC
NPI 1114047024
Internal Medicine in Danbury, CT

Active since April 02, 2007CLIA 07D0100927 · Waiver
100 RESERVE RD STE A4, DANBURY, CT 06810(203) 794-1979(203) 794-1796 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2022, Mar 2, 2022, Dec 13, 2021 (3 updates tracked since 2021).

About Danbury Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANBURY MEDICAL GROUP LLC (NPI 1114047024) is a healthcare organization registered as an internal medicine in Danbury, Connecticut and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Martin H Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1114047024
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDANBURY MEDICAL GROUP LLC
Location Address100 RESERVE RD STE A4Danbury, CT 06810-5267
Mailing Address100 Reserve Rd Ste A4Danbury, CT 06810-5267 · (203) 794-1979 · Fax (203) 794-1796
Phone(203) 794-1979
Fax(203) 794-1796
Organization SubpartNo
Authorized OfficialMartin H WilliamsOwner · (203) 794-1979
Enumeration DateApril 2, 2007
Last NPPES UpdateOctober 21, 20223 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
✔ NPI 1114047024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 3360762
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedPodiatristTaxonomy 213E00000X
100 RESERVE RD STE A4, Danbury, CT 06810
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Other Identifiers 1

Medicaid004108115CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0100927

Danbury Medical Group LLC · Danbury, CT
Active · expires Sep 30, 2026
CLIA Number07D0100927
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDanielle S. Phillip-Journal
Laboratory Phone(203) 794-1979
Laboratory LocationDanbury Medical Group LLC100 Reserve Rd, Ste 4A, Danbury, CT 06810
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN E COBLENS MD
Internal Medicine
100 RESERVE RD STE A4
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-1979
AMIN R ELASHKER DO
Internal Medicine
100 RESERVE RD STE A4
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-1979
CRISANNYS FERNANDEZ APRN
Nurse Practitioner (Family)
100 RESERVE RD STE A4
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-1979
BRENDA EDITH CHACON-MORENO MD
Internal Medicine
100 RESERVE RD STE A4
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-1979
DR. JEFFREY SCOTT METZGER MD
Internal Medicine
100 RESERVE RD STE A4
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-1979
DANIELLE S PHILLIP-JOURNAL MD
Internal Medicine
100 RESERVE RD STE A4
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-1979
TRICIA RICKETTSFACEY
Nurse Practitioner (Family)
100 RESERVE RD STE A4
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-1979
MADALINA I RAUT MD
Internal Medicine
100 RESERVE RD STE A4
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-1979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Danbury Medical Group LLC's NPI number?

The NPI number for Danbury Medical Group LLC is 1114047024. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Danbury Medical Group LLC located?

Danbury Medical Group LLC is located at 100 Reserve Rd Ste A4, Danbury, CT 06810. The listed phone number is (203) 794-1979.

What is Danbury Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Danbury Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0100927) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Danbury Medical Group LLC was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.