Cristian Ionita, MD
Individual provider Active NPI Neurology with Special Qualifications in Child Neurology Physician · Hartford, CT
NPI 1043300544 · NPPES record last updated Oct 5, 2016
Key facts
- NPI
- 1043300544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License
- 048575 (CT)
- Practice address
- 282 Washington St
Connecticut Children'S Specialty Group
Hartford, CT 06106-3322 - Phone
- (860) 545-9000
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yale University
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 785-4638
Hospital & facility affiliations
- Yale-New Haven Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100818000934 | CT | Practitioner - Neurology | 0042256422 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60465754 | WA | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| E-4328 | AR | MD | Neurology Physician |
| 048575 | CT | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current |
Accepting new patients | |
| Yale University | Pediatrics | Current | Accepting new patients |
| Yale University | Current |
Accepting new patients |
Locations
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
20 York St
North Haven, CT 06510
Phone (203) 688-2433
Interoperability endpoints
- cionita343459@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E-4328 | AR | |
| Neurology Physician | 2084N0400X | E-4328 | AR | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | E-4328 | AR | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD60465754 | WA | |
| Pediatrics Physician | 208000000X | MD60465754 | WA | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | MD60465754 | WA | |
| Neurology Physician | 2084N0400X | MD60465754 | WA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 048575 | CT | Yes |
Addresses
Primary practice location
282 Washington St
Connecticut Children'S Specialty Group
Hartford, CT 06106-3322
Mailing address
4800 Sand Point Way NE
Cumg
Seattle, WA 98105-3901
Phone (206) 987-2078
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158325001 | Medicaid | AR |
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All providers in Hartford, CT · Neurology with Special Qualifications in Child Neurology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.