Individual provider Active NPI

Brian W Coyle, MD

  • Vascular Surgery Physician
  • North Haven, CT
National Provider Identifier
1043492028
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
048982 Issued in CT
Practice address
280 State St
North Haven, CT 06473-6103
Phone
(203) 288-2886
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 048982 CT Primary

Addresses

Primary practice location

280 State St
North Haven, CT 06473-6103

Mailing address

836 E Broadway
Milford, CT 06460-6215

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
I20100915000525 CT Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Thoracic SurgeryPractitioner - Peripheral Vascular Disease 7315062262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Cardiovascular Disease (Cardiology), General Surgery, Peripheral Vascular Disease, Thoracic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Vascular Center PCGroup PAC ID 7810953106, 5 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

6 Business Park Dr
Suite 203
Branford, CT 06405-2988
Phone (203) 288-2886

863 N Main St Ext
Suite 101
Wallingford, CT 06492-2434
Phone (203) 269-3791

Hospital & facility affiliations

  • Infinity Homecare Services, LLC Home health agency, Hamden, CT, CCN 077259
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal80
Leg revascularization (restoring blood flow)1-10
Removal of tissue36
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048982CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 12, 2012 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Vascular Surgery CurrentSince Mar 17, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 17, 2020 Accepting new patients
Connecticut Vascular Center P.C. Vascular Surgery CurrentSince Aug 1, 2010 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients

Locations

6 Business Park Dr
Ste 203
Branford, CT 06405
Phone (203) 288-2886

280 S Main St
Ste 205
Cheshire, CT 06410
Phone (203) 678-1050

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

280 State St
Ste 1
North Haven, CT 06473
Phone (203) 288-2886

280 State St
North Haven, CT 06473
Phone (203) 288-2886

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

863 N Main Street Ext
Ste 101
Wallingford, CT 06492
Phone (203) 269-3791

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIJABD
  • Direct secure messaging: bcoyle@direct.wtbyhosp.org
  • Direct secure messaging: brian.coyle@xdr.hhchealthdirect.org
  • Direct secure messaging: bcoyle2844@direct.ynhh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIJABD/Endpoint/HIJABD
  • Direct secure messaging: brian.coyle@ctvc.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1043492028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E BROADWAY",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064736103",
            "telephone_number": "203-288-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "BRIAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "048982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.