Timothy Daniel Shub, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

69607 Issued in CT

Practice address

34 Maple St
Norwalk, CT 06850-3894

Phone

(203) 852-2000

NPI assigned

Mar 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

State University of New York at Buffalo School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norwalk Hospital AssociationGroup PAC ID 3375436660, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tshub712398@direct.ynhh.org
• Direct secure messaging: timothy.shub.1@24265.direct.athenahealth.com

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

• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1427041581
  Medicare reassignment Care Compare group NPD
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Medicare reassignment NPD
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  Medicare reassignment NPD
• Emergency Care Services of Connecticut, P.C.

  • Emergency Medicine Physician
  • Manchester, CT
  • NPI 1518519461
  Medicare reassignment NPD
• Emergency Physicians of Connecticut PC

  • Emergency Medicine Physician
  • Waterbury, CT
  • NPI 1902278906
  Medicare reassignment NPD
• Northeast Emergency Medicine Specialists, LLC

  • Emergency Medicine Physician
  • Willimantic, CT
  • NPI 1982889598
  Medicare reassignment NPD
• Bridgeport Hospital

  • General Acute Care Hospital
  • Milford, CT
  • NPI 1891376810
  NPD
• Danbury Hospital

  • General Acute Care Hospital
  • New Milford, CT
  • NPI 1619938016

  Emergency Medicine

  NPD
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1649263880
  NPD
• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117
  NPD

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

• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1346441953
  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1427041581
  Care Compare affiliation
• Norwalk Hospital Association

  • Land Ambulance
  • Norwalk, CT
  • NPI 1477546521

  Hospital

  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1649263880
  Care Compare affiliation

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1013477538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 BUSHWICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662938",
            "telephone_number": "347-277-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAPLE ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503894",
            "telephone_number": "203-852-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUB",
        "first_name": "TIMOTHY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "69607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chung K Shin, M.D.
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• Steve Sidiropoulos, PH.D.
• Glenn Michael Siegel, M.D.
• Sarah Siegel, M.D.

• Emergency Medicine Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Emergency Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.