Peter Noel Herbert, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

013647 Issued in CT

Practice address

20 York St
Ynhh South Pavilion 218
New Haven, CT 06510-3220

Phone

(203) 688-2222

Fax

(203) 785-4580

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Connecticut Hospice, Inc

  • Special Hospital
  • Branford, CT
  • NPI 1740296508
  Medicare reassignment NPD
• Ynh Geriatric Services

  • Geriatric Medicine (Internal Medicine) Physician
  • New Haven, CT
  • NPI 1760672646
  NPD Authorized official
• Ynh Medical Services PC

  • Hospitalist Physician
  • New Haven, CT
  • NPI 1710072160
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1033191465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GEORGE ST 6TH FLOOR",
            "address_2": "PO BOX 9805",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065360805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "YNHH SOUTH PAVILION 218",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2222",
            "fax_number": "203-785-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "PETER",
        "middle_name": "NOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "013647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001136474",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry B Samson
• Christine St Theresa Henry, PRACTICAL NURSE
• Lucas Shawn Henry, M.D.
• Susan P. Henry, R.N.
• Gillian Fabian Hepburn, PA
• Tara M Herbert, PA C
• Meghan Kelly Herbst, M.D.
• Marta Lea Herger, M.D., J.D.
• Paul Herlan, PA-C
• Katlyn Gail Herles

• Internal Medicine Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.

Verify at the official NPI Registry.