Individual provider Active NPI

Michael W Cleman, MD

  • Cardiovascular Disease Physician
  • Branford, CT
National Provider Identifier
1023006269
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
022232 Issued in CT
Practice address
11 Harrison Ave
Branford, CT 06405-3607
Phone
(203) 483-3000
Fax
(203) 483-8314
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 022232 CT Primary
Interventional Cardiology Physician 207RI0011X 022232 CT

Addresses

Primary practice location

11 Harrison Ave
Branford, CT 06405-3607

Mailing address

300 George St
New Haven, CT 06511-6624

Other identifiers 1

IdentifierTypeStateIssuer
001222322MedicaidCT

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
I20050218000607 CT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507818481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Johns Hopkins University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022232CTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Cardiovascular Disease CurrentSince Jan 16, 2011 Accepting new patients
Yale University CurrentSince May 23, 1989 Accepting new patients
Yale University CurrentSince May 23, 1989 Accepting new patients
Eastern Conn. Cardiology Group Cardiovascular Disease PastSince Jan 1, 2006 Accepting new patients
Eastern CT Cardiology Diagnostics, LLC Cardiovascular Disease Past Accepting new patients

Locations

11 Harrison Ave
Branford, CT 06405
Phone (203) 287-9915

84 N Main St
Branford, CT 06405
Phone (203) 483-2015

55 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 863-2939

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
New Haven, CT 06511
Phone (203) 785-2095

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: mcleman43583@direct.ynhh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1023006269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HARRISON AVE",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053607",
            "telephone_number": "203-483-3000",
            "fax_number": "203-483-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMAN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "022232",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CT",
            "license": "022232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001222322",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.