Individual provider Active NPI

Alan K Summerfield, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Stamford, CT
National Provider Identifier
1003822776
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
001123 Issued in CT
Practice address
1055 Washington Blvd
Suite 440
Stamford, CT 06901-2216
Phone
(203) 348-2614
Fax
(203) 325-8677
NPI assigned
Aug 1, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 001123 CT Primary

Addresses

Primary practice location

1055 Washington Blvd
Suite 440
Stamford, CT 06901-2216

Mailing address

1055 Washington Blvd
Suite 440
Stamford, CT 06901-2216
Phone (203) 348-2614

Other identifiers 1

IdentifierTypeStateIssuer
004213766MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060825000201 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133122526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Anesthesia Associates LLCGroup PAC ID 1759281165, 402 clinicians

Practice addresses (Care Compare)

130 Division St
Derby, CT 06418-1326
Phone (203) 732-1510

80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
001123CTMDOptician
1123CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Anesthesiology Services, PC CurrentSince Nov 1, 2007 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2010 Accepting new patients
Griffin Anesthesia Associates PC Past Accepting new patients
Bridgeport Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Gotham Medical Services Past Accepting new patients
Waterbury Anesthesiology Assoc. Inc Past Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

505 Willard Ave
Newington, CT 06111
Phone (860) 224-6709

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (203) 929-4595

1055 Washington Blvd
Ste 440
Stamford, CT 06901
Phone (203) 348-2614

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1003822776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WASHINGTON BLVD",
            "address_2": "SUITE 440",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012216",
            "telephone_number": "203-348-2614",
            "fax_number": "203-325-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WASHINGTON BLVD",
            "address_2": "SUITE 440",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012216",
            "telephone_number": "203-348-2614",
            "fax_number": "203-325-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERFIELD",
        "first_name": "ALAN",
        "middle_name": "K",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "001123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004213766",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.