STAMFORD HEALTH MEDICAL GROUP, INC.
NPI 1154633980
General Practice in Stamford, CT

Q: What is Stamford Health Medical Group, Inc.'s NPI number?

The NPI number for Stamford Health Medical Group, Inc. is 1154633980. It was assigned to this organization in the NPPES registry on July 9, 2010.

Q: What is Stamford Health Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 09, 2010CLIA 07D2037607 · Waiver

ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR, STAMFORD, CT 06907(203) 276-7447(203) 276-4350 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2019, Jun 22, 2018, Jun 21, 2016 and 1 more (4 updates tracked since 2016).

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About Stamford Health Medical Group, Inc. NPPES

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

STAMFORD HEALTH MEDICAL GROUP, INC. (NPI 1154633980) is a healthcare organization registered as a general practice in Stamford, Connecticut and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Rodrigo Acosta, President, as its authorized official.

NPPES Registry Identity

NPI1154633980

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSTAMFORD HEALTH MEDICAL GROUP, INC.

Location AddressONE OMEGA DRIVE, BUILDING 3, 2ND FLOORStamford, CT 06907

Mailing AddressOne Omega Drive, Building 3, 2nd FloorStamford, CT 06907-2336 · (203) 276-7447 · Fax (203) 276-4350

Phone(203) 276-7447

Fax(203) 276-4350

Organization SubpartNo

Authorized OfficialRodrigo AcostaPresident · (203) 977-2566

Enumeration DateJuly 9, 2010

Last NPPES UpdateJune 29, 20224 updates tracked since enumeration

NPPES CertifiedJune 29, 2022

✔ NPI 1154633980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedObstetrics & Gynecology · Reproductive EndocrinologyTaxonomy 207VE0102X

Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X

Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X

Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X

ONE OMEGA DRIVE, Stamford, CT 06907

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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 07D2037607

Stamford Health Medical Group, Inc · Stamford, CT

Active · expires Mar 1, 2028

CLIA Number07D2037607

Laboratory TypePhysician Office

Certificate Effective DateMarch 2, 2026

Certificate Expiration DateMarch 1, 2028

Laboratory DirectorLu Yu

Laboratory Phone(203) 977-2566

Laboratory LocationStamford Health Medical Group, Inc292 Long Ridge Road, Suite 206, Stamford, CT 06902

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Stamford Health Medical Group, Inc.'s NPI number?

The NPI number for Stamford Health Medical Group, Inc. is 1154633980. It was assigned to this organization in the NPPES registry on July 9, 2010.

Where is Stamford Health Medical Group, Inc. located?

Stamford Health Medical Group, Inc. is located at One Omega Drive Building 3, 2nd Floor, Stamford, CT 06907. The listed phone number is (203) 276-7447.

What is Stamford Health Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Stamford Health Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2037607) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stamford Health Medical Group, Inc. was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.