Individual provider Active NPI

Jaime Strachan, M.D.

  • Vascular Surgery Physician
  • Watertown, CT
National Provider Identifier
1013953777
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
041434 Issued in CT
Practice address
595 Straits Tpke Unit 2
Watertown, CT 06795-3356
Phone
(203) 262-9979
Fax
(203) 262-9917
NPI assigned
Jun 21, 2006
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 041434 CT Primary

Addresses

Primary practice location

595 Straits Tpke Unit 2
Watertown, CT 06795-3356

Mailing address

6 Research Dr Ste 105
Shelton, CT 06484-6228
Phone (203) 210-6340

Other practice location 1

19 Laurel Ave Ste 102
Cornwall, NY 12518-1403
Phone (203) 210-6340

Other identifiers 1

IdentifierTypeStateIssuer
1013953777MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050727000474 CT Practitioner - Vascular SurgeryPractitioner - General Surgery 4385672849 Reassigns benefits to 1 organization
I20210303000757 NY Practitioner - Vascular Surgery 4385672849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Connecticut Vascular Center LLCGroup PAC ID 8527951532, 32 clinicians

Practice addresses (Care Compare)

595 Straits Tpke
Unit 2
Watertown, CT 06795-3356
Phone (203) 262-9979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.63 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal122
Leg revascularization (restoring blood flow)88
Removal of tissue29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
041434CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Connecticut Vascular Center, LLC Vascular Surgery CurrentSince Apr 8, 2009 Accepting new patients
New York Vascular Group, PLLC Vascular Surgery CurrentSince Aug 20, 2020 Accepting new patients
Middlebury Surgical, LLC PastSince Jan 1, 2001 Accepting new patients

Locations

7 Germantown Rd
Ste 2B
Danbury, CT 06810
Phone (203) 210-6340

79 Wawecus St
Ste 104
Norwich, CT 06360
Phone (860) 237-5458

6 Research Dr
Ste 105
Shelton, CT 06484
Phone (203) 210-6717

1449 Old Waterbury Rd
Ste 101
Southbury, CT 06488
Phone (203) 262-9979

495 Hawley Ln
Ste 2A
Stratford, CT 06614
Phone (203) 210-6333

999 Silver Ln
Ste 2B
Trumbull, CT 06611
Phone (203) 375-0658

595 Straits Tpke
Ste 2
Watertown, CT 06795
Phone (203) 210-6340

19 Laurel Ave
Ste 102
Cornwall, NY 12518
Phone (203) 210-6340

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jaime.strachan.1@32135.direct.athenahealth.com
  • Direct secure messaging: jstrachan@vascularexperts.directbygreenway.com

Organizations & group practices 3

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 3

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1013953777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RESEARCH DR STE 105",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846228",
            "telephone_number": "203-210-6340",
            "fax_number": "203-502-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 STRAITS TPKE UNIT 2",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953356",
            "telephone_number": "203-262-9979",
            "fax_number": "203-262-9917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Laurel Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cornwall",
            "state": "NY",
            "postal_code": "125181403",
            "country_code": "US",
            "telephone_number": "203-210-6340",
            "fax_number": "203-502-2615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRACHAN",
        "first_name": "JAIME",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "041434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013953777",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

Verify at the official NPI Registry.