Kristoffer Ryan Alpas De Lara, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

D0074724 Issued in MD

Practice address

19735 Germantown Rd
Suite 360
Germantown, MD 20874-1214

Phone

(301) 528-2810

Fax

(301) 528-2811

NPI assigned

Sep 23, 2011

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kristoffer Ryan Alpas De Lara Other name

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

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain and Spine Specialists of Connecticut LLCGroup PAC ID 0143323063, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdelara@nspc.emadirect.md

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.

• Pain & Spine Specialists of Connecticut, LLC

  • Interventional Pain Medicine Physician
  • Danbury, CT
  • NPI 1467588020
  Medicare reassignment Care Compare group NPD
• Pain & Spine Specialists of Connecticut, LLC

  • Interventional Pain Medicine Physician
  • Fairfield, CT
  • NPI 1386256378
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527

  Interventional Pain Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1902834880
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1104109305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "301-528-2810",
            "fax_number": "301-528-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD",
            "address_2": "SUITE 360",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741214",
            "telephone_number": "301-528-2810",
            "fax_number": "301-528-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LARA",
        "first_name": "KRISTOFFER RYAN",
        "middle_name": "ALPAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0074724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTOFFER",
            "last_name": "DE LARA",
            "middle_name": "RYAN ALPAS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tarah Davidson, LPC
• Ashlyn Davis, LMSW
• De'Andre Davis
• Makiya Nichole Davis, RBT
• Jayesh Dayal, MD
• Felix Daniel Perdido De Vera, PT, DPT
• Scarlet Defonteny
• Ruby Defrees
• Fernande Deguenon
• Valeria A Delcid, M.A., CF-SLP

• Interventional Pain Medicine Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Interventional Pain Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.

Verify at the official NPI Registry.