Amy D. H. Doody, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002546 Issued in CT

Practice address

1 Willowbrook Rd Ste 2
Cromwell, CT 06416-1745

Phone

(860) 322-2222

Fax

(860) 322-6838

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Connecticut Dermatology PLLCGroup PAC ID 8527301365, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.35 of 100Reported as group

Quality

88.71

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: adoody@directaddress.net

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.

• Central Connecticut Dermatology, PLLC

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1407313984
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1063426773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23687",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873687",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Buckland Rd",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060743725",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOODY",
        "first_name": "AMY",
        "middle_name": "D. H.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "2131",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Sarah Dizon, MA, BCBA
• Mary Dominguez
• Janae Jessica Donady, D.M.D.
• Chelsey Donaldson, CHW, CLC
• Kristen Donato, DO
• Kendra Dootson
• Gabriela Karina Dos Reis
• Donald R. Drouin, D.D.S.
• Janelle Pinunsky Duff
• Leila Dunn

• Physician Assistant in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.