Mark S Bianchi, MD
Individual provider Active NPI Otolaryngology Physician · New Haven, CT
NPI 1073574166 · NPPES record last updated Feb 28, 2012
Key facts
- NPI
- 1073574166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 035051 (CT)
- Practice address
- 55 Lock Street
New Haven, CT 06511 - Phone
- (203) 375-0050
- Fax
- (203) 380-1616
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Yale University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabilitation Associates Inc
Yale University
Practice addresses (Care Compare)
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
- Bridgeport Hospital
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223000174 | CT | Practitioner - Otolaryngology | 8022904622 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035051 | CT | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| Yale University | Otolaryngology | Current |
Accepting new patients |
| Ear Nose and Throat Specialists of CT PC | Otolaryngology | Past |
Accepting new patients |
| Northeast Medical Group, Inc. | Past | Accepting new patients |
Locations
2200 Whitney Ave
Ste 260
Hamden, CT 06518
Phone (203) 248-8409
659 George St
New Haven, CT 06511
Phone (203) 789-3260
1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
55 Lock St
New Haven, CT 06511
Phone (203) 432-0076
Interoperability endpoints
- mbianchi8050@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 035051 | CT | Yes |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 035051 | CT |
Addresses
Primary practice location
55 Lock Street
New Haven, CT 06511
Mailing address
PO Box 208237
New Haven, CT 06520-8237
Phone (203) 375-0050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001350511 | Medicaid | CT |
Other providers in New Haven, CT
- Adil Bhutta
- Urmila Bhuvanesh
- Christina Lin Bi
- Joshua Reed Bia
- Margaret J Bia
- Sean Douglas Bickerton
- David Bickford
- Aram Bidikian
- Nayda Bidikian
- Brigitte Bidon
All providers in New Haven, CT · Otolaryngology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.