NPIMap

Individual provider Active NPI

Hamada Hamid Altalib, D.O.,M.P.H.

  • Neurology Physician
  • West Haven, CT
National Provider Identifier
1073700548
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
046803 Issued in CT
Practice address
950 Campbell Ave
Neurology-125
West Haven, CT 06516-2770
Phone
(203) 937-4724
NPI assigned
Sep 28, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Epileptologists, Psychiatry
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale University 2,632 clinicians

Practice addresses (Care Compare)

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20101004000702 CT Practitioner - NeurologyPractitioner - PsychiatryPractitioner - Epileptologists 3577755958 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046803CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince May 7, 2013 Accepting new patients
Yale University Neurology CurrentSince May 7, 2013 Accepting new patients

Locations

800 Howard Ave
Lowr
New Haven, CT 06519
Phone (203) 737-2096

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

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

950 Campbell Ave
West Haven, CT 06516

950 Campbell Ave
#125
West Haven, CT 06516
Phone (203) 937-4724

Interoperability endpoints

  • Direct secure messaging: haltalib3332@direct.ynhh.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 046803 CT
Neurology Physician 2084N0400X 046803 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

950 Campbell Ave
Neurology-125
West Haven, CT 06516-2770

Mailing address

150 Roydon Rd
New Haven, CT 06511-2859
Phone (203) 937-4724

Other names 1

NPPES NPI Registry
  • Hamada Hamid Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2016.

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1073700548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ROYDON RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112859",
            "telephone_number": "203-937-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVE",
            "address_2": "NEUROLOGY-125",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162770",
            "telephone_number": "203-937-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTALIB",
        "first_name": "HAMADA",
        "middle_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "D.O.,M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CT",
            "license": "046803",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "046803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMADA",
            "last_name": "HAMID",
            "credential": "DO, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.