WATERBURY HOSPITAL
NPI 1477902641
General Acute Care Hospital in Waterbury, CT

Q: What is Prospect Waterbury, Inc.'s NPI number?

The NPI number for Prospect Waterbury, Inc. is 1477902641. It was assigned to this organization in the NPPES registry on June 8, 2016. The provider is also known as Waterbury Hospital.

Q: What is Prospect Waterbury, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since June 08, 2016

64 ROBBINS ST, WATERBURY, CT 06708(203) 573-7280(203) 573-7325 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Waterbury Hospital NPPES

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

WATERBURY HOSPITAL (NPI 1477902641) is a healthcare organization registered as a general acute care hospital in Waterbury, Connecticut and active in the NPI registry since June 2016. The organization lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1477902641

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NamePROSPECT WATERBURY, INC.

Location Address64 ROBBINS STWaterbury, CT 06708-2613

Mailing Address64 Robbins StWaterbury, CT 06708-2613 · (203) 573-7280 · Fax (203) 573-7325

Phone(203) 573-7280

Fax(203) 573-7325

Organization SubpartNo

Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249

Enumeration DateJune 8, 2016

Last NPPES UpdateJanuary 11, 2021

NPPES CertifiedJanuary 11, 2021

✔ NPI 1477902641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

64 ROBBINS ST, Waterbury, CT 06708

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Other Names 1

Other NameWaterbury Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waterbury Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 60 clinicians reassign Medicare billing to Waterbury Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Psychiatry12

Cardiovascular Disease (Cardiology)11

Clinical Social Worker10

Internal Medicine10

Neurology6

Cardiac Electrophysiology5

General Surgery3

Nurse Practitioner2

1 other specialty1

Nearest to this location (20)

See all 60

Katherine Kedzierski, M.D.

Neurology

NPI 1548571110

64 ROBBINS ST WATERBURY HOSPITAL
Waterbury, CT 06708

(203) 573-6000

✔ PECOS✔ Accepts MedicareSame address

Sean Ramras

General Surgery

NPI 1639757792

64 ROBBINS ST
Waterbury, CT 06708

(203) 573-7257

✔ PECOSSame address

Craig Mendola, LCSW

Clinical Social Worker

NPI 1477535177

64 ROBBINS ST
Waterbury, CT 06708

(203) 573-6500