Individual provider Active NPI

Igal Staw, M.D.

  • Pulmonary Disease Physician
  • Fairfield, CT
National Provider Identifier
1013901602
Registry record updated Apr 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
020108 Issued in CT
Practice address
2000 Post Rd
Ste 202
Fairfield, CT 06824-5730
Phone
(203) 853-1919
Fax
(203) 855-9002
NPI assigned
Sep 9, 2005
Reactivated
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 020108 CT Primary

Addresses

Primary practice location

2000 Post Rd
Ste 202
Fairfield, CT 06824-5730

Mailing address

2000 Post Rd
Ste 202
Fairfield, CT 06824-5730
Phone (203) 853-1919

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080325000375 CT Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7012979644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Medical University of South Carolina College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 Post Rd
Suite 202
Fairfield, CT 06824-5730
Phone (203) 853-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Associates PC Pulmonary Disease CurrentSince Jun 20, 2019 Accepting new patients

Locations

2000 Post Rd
Ste 202
Fairfield, CT 06824
Phone (203) 254-9454

2000 Post Rd
Fairfield, CT 06824
Phone (203) 418-9520

83 East Ave
Ste 307
Norwalk, CT 06851
Phone (203) 853-1919

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556409600000",
    "number": "1013901602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 POST RD",
            "address_2": "STE 202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245730",
            "telephone_number": "203-853-1919",
            "fax_number": "203-855-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 POST RD",
            "address_2": "STE 202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245730",
            "telephone_number": "203-853-1919",
            "fax_number": "203-855-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAW",
        "first_name": "IGAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2019-04-28",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "020108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.