Individual provider Active NPI

Alexandr Rafailov, MD

  • Emergency Medicine Physician
  • Stamford, CT
National Provider Identifier
1023213717
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
047369 Issued in CT
Practice address
30 Shelburne Rd
Stamford, CT 06902-3628
Phone
(203) 276-7777
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 047369 CT Primary
Emergency Medicine Physician 207P00000X 248028 NY

Addresses

Primary practice location

30 Shelburne Rd
Stamford, CT 06902-3628

Mailing address

9 Fieldstone Rd
Stamford, CT 06902-2575
Phone (917) 075-2429

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
I20090513000270 CT Practitioner - Emergency MedicinePractitioner - Diagnostic Radiology 5496804965 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
84.92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.6 of 100Reported as group
Quality
89.17
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
71.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047369CTMDEmergency Medicine Physician
248028NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nems PLLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Emergency Medicine Physicians of Fairfield County, LLC Emergency Medicine CurrentSince May 1, 2009 Accepting new patients
Northeast Emergency Medicine Specialists, LLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine CurrentSince Apr 6, 2024 Accepting new patients
Emergency Medicine Physicians of New Haven County,LLC Emergency Medicine CurrentSince Oct 21, 2014 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine Current Accepting new patients
Emergency Medicine Physicians of Suffolk County, PLLC Emergency Medicine Past Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: alexandr.rafailov@xdr.hhchealthdirect.org
  • Direct secure messaging: arafailov24650@stamfordhealth.direct-ci.com

Organizations & group practices 7

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1023213717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FIELDSTONE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022575",
            "telephone_number": "917-075-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHELBURNE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023628",
            "telephone_number": "203-276-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAILOV",
        "first_name": "ALEXANDR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "047369",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "248028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.