Individual provider Active NPI

Rhonda Quain Klein, MD

  • Dermatology Physician
  • Westport, CT
National Provider Identifier
1033386867
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
049946 Issued in CT
Practice address
1032 Post Road East
Westport, CT 06880
Phone
(203) 635-0770
Fax
(203) 635-0771
NPI assigned
May 12, 2008
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 049946 CT Primary

Addresses

Primary practice location

1032 Post Road East
Westport, CT 06880

Mailing address

1032 Post Road East
Westport, CT 06880
Phone (203) 635-0770

Other practice location 1

333 Cedar St # 501
Yale New Haven Hospital
New Haven, CT 06510-3206
Phone (203) 785-4632

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rklein@modernderm.ezderm.info Direct Modern Dermatology PC

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
I20111123000019 CT Practitioner - Dermatology 1951575224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Dermatology PCGroup PAC ID 7618228164, 6 clinicians

Practice addresses (Care Compare)

1032 Post Rd E
Westport, CT 06880-5369
Phone (203) 635-0770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions368
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049946CTMDDermatology Physician
49946CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dermatology PC Dermatology CurrentSince Jul 31, 2018 Accepting new patients
Schweiger Dermatology PLLC Dermatology CurrentSince Apr 1, 2022 Accepting new patients

Locations

1250 Summer St
Ste 201
Stamford, CT 06905
Phone (203) 975-1112

1032 Post Rd E
Westport, CT 06880
Phone (203) 635-0770

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1033386867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 POST ROAD EAST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "06880",
            "telephone_number": "203-635-0770",
            "fax_number": "203-635-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 POST ROAD EAST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "06880",
            "telephone_number": "203-635-0770",
            "fax_number": "203-635-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Cedar St # 501",
            "address_2": "Yale New Haven Hospital",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103206",
            "country_code": "US",
            "telephone_number": "203-785-4632",
            "fax_number": "203-785-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "RHONDA",
        "middle_name": "QUAIN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "049946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rklein@modernderm.ezderm.info",
            "affiliation": "Y",
            "endpointDescription": "EZ Derm Direct Messaging",
            "affiliationName": "Modern Dermatology PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1032 Post Road East",
            "city": "Westport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.