Individual provider Active NPI

Angelo Accomando, M.D.

  • Internal Medicine Physician
  • East Haven, CT
National Provider Identifier
1063454247
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36451 Issued in CT
Practice address
205 Main St
East Haven, CT 06512-3003
Phone
(203) 466-5070
Fax
(203) 466-4123
NPI assigned
Jun 12, 2006
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36451 CT Primary

Addresses

Primary practice location

205 Main St
East Haven, CT 06512-3003

Mailing address

205 Main St
East Haven, CT 06512-3003
Phone (203) 466-5070

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
I20110111000179 CT Practitioner - Internal Medicine 3072535186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fpim of New Haven County,LLCGroup PAC ID 1456373562, 6 clinicians

Practice addresses (Care Compare)

205 Main St
East Haven, CT 06512-3003
Phone (203) 466-5070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36451CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpim of New Haven County,LLC Internal Medicine CurrentSince Feb 1, 1999 Accepting new patients

Locations

205 Main St
East Haven, CT 06512
Phone (203) 466-5070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGEFAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGEFAD/Endpoint/CGEFAD

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1063454247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123003",
            "telephone_number": "203-466-5070",
            "fax_number": "203-466-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123003",
            "telephone_number": "203-466-5070",
            "fax_number": "203-466-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCOMANDO",
        "first_name": "ANGELO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "36451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.