Active NPI
Louis A. Telesford, M.D.
- Cardiovascular Disease Physician
- Hamden, CT
National Provider Identifier
1023125523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 034211
- Practice address
- 2337 Whitney Ave
Hamden, CT 06518-3539 - Phone
- (203) 248-8142
- Fax
- (203) 248-7764
- NPI assigned
- Aug 23, 2006
- Last updated
- Jan 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 034211 | CT | Primary |
Addresses
Primary practice location
2337 Whitney Ave
Hamden, CT 06518-3539
Mailing address
2337 Whitney Ave
Hamden, CT 06518-3539
Phone (203) 675-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034211 | Other | CT | MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140415000233 | CT | Order and Referring Only - Cardiovascular Disease (Cardiology) | 9931331550 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034211 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamden Medical LLC | Current | Accepting new patients |
Locations
2337 Whitney Ave
Hamden, CT 06518
Phone (203) 248-8142
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Hamden, CT
- NPI 1548920457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1023125523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183539",
"telephone_number": "203-675-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2337 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183539",
"telephone_number": "203-248-8142",
"fax_number": "203-248-7764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELESFORD",
"first_name": "LOUIS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "034211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "034211",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.