Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Chadi Berjaoui, MD

Individual provider Family Medicine Physician · NPI 1366893281

Dr. Chadi Berjaoui, MD is a Family Practice in Old Lyme, Connecticut. Qualified in 2016, 10 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Connecticut.

Years since qualifying
10
Licensed in
AZ, CT
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19 Halls Rd
Old Lyme, CT 06371-1457
Phone: (860) 434-8300
Fax: (860) 865-2388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 76411 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence R75735 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 57761 (AZ)

Record details

NPI number1366893281
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2016
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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