NPIMap

Individual provider Active NPI

Patrick Clyne Thompson

  • Vascular Surgery Physician
  • Palo Alto, CA
National Provider Identifier
1073924197
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
68674 Issued in CT
Practice address
300 Pasteur Drive, Suite H3600
Stanford University Medical Center
Palo Alto, CA 94305-5642
Phone
(650) 725-5227
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 68674 CT Primary

Addresses

Primary practice location

300 Pasteur Drive, Suite H3600
Stanford University Medical Center
Palo Alto, CA 94305-5642

Mailing address

280 State St
North Haven, CT 06473-6103
Phone (203) 288-2886

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210714000511 CT Practitioner - Vascular Surgery 3779985783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Massachusetts Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Vascular Center PCGroup PAC ID 7810953106, 5 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

280 State St
Suite 1
North Haven, CT 06473-6103
Phone (203) 288-2886

863 N Main St Ext
Suite 101
Wallingford, CT 06492-2434
Phone (203) 269-3791

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal56
Leg revascularization (restoring blood flow)1-10
Removal of tissue224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2021 Accepting new patients
Connecticut Vascular Center P.C. Vascular Surgery CurrentSince Aug 15, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Vascular Surgery CurrentSince Sep 1, 2021 Accepting new patients

Locations

6 Business Park Dr
Ste 203
Branford, CT 06405
Phone (203) 288-2886

280 S Main St
Ste 102
Cheshire, CT 06410
Phone (203) 224-5161

280 State St
Ste 1
North Haven, CT 06473
Phone (203) 288-2886

280 State St
North Haven, CT 06473
Phone (203) 288-2886

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

863 N Main Street Ext
Ste 101
Wallingford, CT 06492
Phone (203) 269-3791

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIJABD
  • Direct secure messaging: patrick.thompson@xdr.hhchealthdirect.org

Organizations & group practices 3

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 8

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1073924197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064736103",
            "telephone_number": "203-288-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE, SUITE H3600",
            "address_2": "STANFORD UNIVERSITY MEDICAL CENTER",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943055642",
            "telephone_number": "650-725-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PATRICK",
        "middle_name": "CLYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "68674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.