Active NPI
Abraham Charles Yale, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000283
- Practice address
- 1881 Post Rd
Fairfield, CT 06824-5721 - Phone
- (203) 255-1036
- Fax
- (203) 259-3444
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000283 | CT | Primary |
Addresses
Primary practice location
1881 Post Rd
Fairfield, CT 06824-5721
Mailing address
1881 Post Rd
Fairfield, CT 06824-5721
Phone (203) 255-1036
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030000283CT01 | Other | CT | ANTHEM PIN |
| 752951 | Other | CT | UNITED HEALTH PIN |
| ZS3200 | Other | CT | OXFORD PIN |
| 510840 | Other | CT | AETNA PIN |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1881 Post Rd
Fairfield, CT 06824-5721
Phone (203) 255-1036
83 Washington Ave
North Haven, CT 06473-1704
Phone (203) 787-3800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 32 |
| Removal or shaving of skin growth | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000283 | CT | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Podiatrists of North Haven | Current | Accepting new patients | |
| Associated Podiatrist of Fairfield, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
1881 Post Rd
Fairfield, CT 06824
Phone (203) 255-1036
12 Village St
North Haven, CT 06473
Phone (203) 777-2044
83 Washington Ave
North Haven, CT 06473
Phone (203) 787-3800
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.
-
- Foot Surgery Podiatrist
- Fairfield, CT
- NPI 1700985835
Foot & Ankle Surgery
-
- Foot Surgery Podiatrist
- North Haven, CT
- NPI 1295850204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063511210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245721",
"telephone_number": "203-255-1036",
"fax_number": "203-259-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245721",
"telephone_number": "203-255-1036",
"fax_number": "203-259-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YALE",
"first_name": "ABRAHAM",
"middle_name": "CHARLES",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CT",
"license": "000283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "030000283CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PIN",
"identifier": "752951",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PIN",
"identifier": "ZS3200",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "510840",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.