Active NPI
Andrew Hart Smith, MD
- Vascular Surgery Physician
- Shelton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 72193
- Practice address
- 100 Beard Sawmill Rd Ste 250
Shelton, CT 06484-6178 - Phone
- (203) 922-7870
- Fax
- (203) 922-7872
- NPI assigned
- Mar 30, 2015
- Last updated
- Sep 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 72193 | CT | Primary |
Addresses
Primary practice location
100 Beard Sawmill Rd Ste 250
Shelton, CT 06484-6178
Mailing address
100 Beard Sawmill Rd Ste 250
Shelton, CT 06484-6178
Phone (203) 922-7870
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
- Vascular Surgery
- Education
- State University of New York at Stony Brook, School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Beard Sawmill Rd
Suite 250
Shelton, CT 06484-6178
Phone 2039227870104
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 20 |
| Leg revascularization (restoring blood flow) | 25 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Vascular Surgical Associates, PC | Single Specialty | Current | Accepting new patients |
| Wilton Anesthesia Associates, LLC | Single Specialty | Past | Accepting new patients |
Locations
100 Beard Sawmill Rd
Ste 250
Shelton, CT 06484
Phone (203) 922-7870
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHJEAA/Endpoint/DHJEAA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Shelton, CT
- NPI 1801805403
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Bloomfield, CT
- NPI 1588696173
Single Specialty
Hospital & facility affiliations 3
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
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1942224696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1093100869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BEARD SAWMILL RD STE 250",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846178",
"telephone_number": "203-922-7870",
"fax_number": "203-922-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BEARD SAWMILL RD STE 250",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846178",
"telephone_number": "203-922-7870",
"fax_number": "203-922-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANDREW",
"middle_name": "HART",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CT",
"license": "72193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.