Individual provider Active NPI

Andrew Hart Smith, MD

  • Vascular Surgery Physician
  • Shelton, CT
National Provider Identifier
1093100869
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
72193 Issued in CT
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921001224 CT Practitioner - Vascular Surgery 0840603874 Reassigns benefits to 1 organization

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
Connecticut Vascular Surgical Associates PCGroup PAC ID 9931102654, 5 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal20
Leg revascularization (restoring blood flow)25
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Vascular Surgical Associates, PC Single Specialty CurrentSince Aug 29, 2022 Accepting new patients
Wilton Anesthesia Associates, LLC Single Specialty PastSince Aug 29, 2022 Accepting new patients

Locations

100 Beard Sawmill Rd
Ste 250
Shelton, CT 06484
Phone (203) 922-7870

Interoperability endpoints

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.