Active NPI
Tito L. Vasquez, M.D.
- Plastic Surgery Physician
- Southport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 046169
- Practice address
- 2600 Post Rd
Southport, CT 06890-1258 - Phone
- (203) 292-8119
- Fax
- (203) 292-8120
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 046169 | CT | |
| Plastic Surgery Physician | 208200000X | 046169 | CT | Primary |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 046169 | CT |
Addresses
Primary practice location
2600 Post Rd
Southport, CT 06890-1258
Mailing address
2600 Post Rd
Southport, CT 06890-1258
Phone (203) 292-8119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D300000073 | Other | CT | MEDICARE PTAN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- New York Medical College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 785-4081
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
- Bridgeport 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046169 | CT | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Yale University | Past | Accepting new patients | |
| Fairfield Anesthesia Associates LLC | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
2600 Post Rd
Ste 206
Southport, CT 06890
Phone (203) 292-8119
2600 Post Rd
Southport, CT 06890
Phone (203) 255-4005
32 Imperial Ave
Westport, CT 06880
Phone (203) 226-1760
Interoperability endpoints
- tito.vasquez@xdr.hhchealthdirect.org
- tvasquez7766@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.
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Anesthesiology Physician
- Trumbull, CT
- NPI 1093822132
-
- Health Service Clinic/Center
- New Haven, CT
- NPI 1093862740
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1083889398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 POST RD",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901258",
"telephone_number": "203-292-8119",
"fax_number": "203-292-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 POST RD",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901258",
"telephone_number": "203-292-8119",
"fax_number": "203-292-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "TITO",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CT",
"license": "046169",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CT",
"license": "046169",
"primary": true
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "CT",
"license": "046169",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "D300000073",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.