NPIMap

Individual provider Active NPI

Lisa Vanderbilt Knopf, M.D.

  • Epilepsy Physician
  • Hartford, CT
National Provider Identifier
1073806345
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
64180 Issued in CT
Practice address
80 Seymour Street
Hartford Hospital Neurology Dept
Hartford, CT 06102-5037
Phone
(860) 972-9047
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 064180 CT
Epilepsy Physician 2084E0001X 64180 CT Primary

Addresses

Primary practice location

80 Seymour Street
Hartford Hospital Neurology Dept
Hartford, CT 06102-5037

Mailing address

80 Seymour Street
Hartford Hospital Neurology Dept
Hartford, CT 06102-5037
Phone (860) 972-3621

Other practice location 1

85 Seymour Street
Hartford Hospital Neurology Dept
Hartford, CT 06106-5501
Phone (860) 972-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171031003489 RI Practitioner - Neurology 9931475274 Reassigns benefits to 1 organization
I20191002000322 CT Practitioner - Neurology 9931475274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Connecticut School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

462 Queen St
Suite 201
Southington, CT 06489-1801
Phone (860) 621-1896

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64180CTMDEpilepsy Physician
064180CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Sep 16, 2019 Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Sep 16, 2019 Accepting new patients
Brown Neurology Neurology CurrentSince Sep 5, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Nov 4, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Neurology CurrentSince Nov 4, 2019 Accepting new patients

Locations

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

462 Queen St
Ste 201
Southington, CT 06489
Phone (860) 621-1896

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

593 Eddy St
Providence, RI 02903

593 Eddy St
#5
Providence, RI 02903
Phone (401) 444-3032

Interoperability endpoints

  • Direct secure messaging: lisa.knopf@xdr.hhchealthdirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1073806345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL NEUROLOGY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061025037",
            "telephone_number": "860-972-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL NEUROLOGY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061025037",
            "telephone_number": "860-972-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Seymour Street",
            "address_2": "Hartford Hospital Neurology Dept",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061065501",
            "country_code": "US",
            "telephone_number": "860-972-3621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOPF",
        "first_name": "LISA",
        "middle_name": "VANDERBILT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "064180",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "CT",
            "license": "64180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.