Individual provider Active NPI

Costin Nicolae Ionescu, M.D. PH.D

  • Cardiovascular Disease Physician
  • New Haven, CT
National Provider Identifier
1063513703
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
044250 Issued in CT
Practice address
1450 Chapel St
PVT 202
New Haven, CT 06511-4405
Phone
(203) 789-6045
Fax
(203) 789-6046
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044250 CT
Cardiovascular Disease Physician 207RC0000X 044250 CT Primary
Interventional Cardiology Physician 207RI0011X 044250 CT

Addresses

Primary practice location

1450 Chapel St
PVT 202
New Haven, CT 06511-4405

Mailing address

1450 Chapel St
PVT 202
New Haven, CT 06511-4405
Phone (203) 789-6045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061024000195 CT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365449956 Reassigns benefits to 2 organizations
I20181018001905 RI Practitioner - Cardiovascular Disease (Cardiology) 2365449956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

1075 Chase Park Way
Suite B
Waterbury, CT 06708-2948
Phone (203) 755-6311

111 Goose LN
Guilford, CT 06437-5101
Phone (203) 747-7300

1450 Chapel St B
New Haven, CT 06511-4405
Phone 20386754204405

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

2560 Dixwell Ave
Hamden, CT 06514-1851
Phone (203) 288-0003

300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 876-4000

5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 785-4081

6 Devine St
North Haven, CT 06473-2195
Phone (203) 287-6100

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
044250CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Internal Medicine CurrentSince Nov 19, 2013 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jul 31, 2018 Accepting new patients
Yale University CurrentSince Nov 19, 2013 Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Cardiovascular Disease Past Accepting new patients
Hampden & Franklin County Cardiovascular Associates, PC Internal Medicine PastSince Jun 1, 2002 Accepting new patients
Saint Raphael Faculty Physicians Internal Medicine Past Accepting new patients

Locations

1450 Chapel St
#202
New Haven, CT 06511
Phone (203) 789-6045

300 George St
#6
New Haven, CT 06511
Phone (203) 737-6293

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

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

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

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

196 Parkway S
Ste 103
Waterford, CT 06385
Phone (860) 443-4383

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADA
  • Direct secure messaging: cionescu63828@direct.ynhh.org

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, 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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1063513703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "address_2": "PVT 202",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-6045",
            "fax_number": "203-789-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "address_2": "PVT 202",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-6045",
            "fax_number": "203-789-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONESCU",
        "first_name": "COSTIN",
        "middle_name": "NICOLAE",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "044250",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "044250",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CT",
            "license": "044250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.