Active NPI
Annette F Cameron, MD
- Pediatrics Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 039360
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4405 - Phone
- (203) 789-4074
- Fax
- (203) 867-5534
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 039360 | CT | Primary |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4405
Mailing address
300 George St
FL 6
New Haven, CT 06511-6624
Phone (203) 785-6610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001393602 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Pediatrics | Current | Accepting new patients |
| Fair Haven Community Health Clinic Inc | Past | Accepting new patients | |
| Saint Raphael Faculty Physicians | Past | Accepting new patients |
Locations
2080 Whitney Ave
Ste 240
Hamden, CT 06518
Phone (203) 238-7747
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300
659 George St
New Haven, CT 06511
Phone (203) 789-3260
150 Sargent Dr
Ste 1300
New Haven, CT 06511
Interoperability endpoints
- acameron2671@direct.ynhh.org
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Federally Qualified Health Center (FQHC)
- New Haven, CT
- NPI 1104803444
-
- Internal Medicine Physician
- New Haven, CT
- NPI 1932138138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1083727937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GEORGE ST",
"address_2": "FL 6",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116624",
"telephone_number": "203-785-6610",
"fax_number": "203-785-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114405",
"telephone_number": "203-789-4074",
"fax_number": "203-867-5534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "ANNETTE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "039360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001393602",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.