Individual provider Active NPI

David F Altamirano, M.D.

  • Family Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1104139963
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051804 Issued in CT
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 576-6000
NPI assigned
Jul 22, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
83.45
Promoting interoperability
100
Improvement activities
40
Cost
76.72

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

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
I20140505001449 CT Practitioner - General Practice 9032342753 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051804CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Jun 1, 2020 Accepting new patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Apr 26, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Apr 26, 2015 Accepting new patients
Neighborhood Health, Inc. Family Medicine CurrentSince Aug 29, 2013 Accepting new patients
Yale University CurrentSince Oct 14, 2023 Accepting new patients
Yale University CurrentSince Oct 14, 2023 Accepting new patients

Locations

2720 Main St
Ste 1
Bridgeport, CT 06606

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

Interoperability endpoints

  • Direct secure messaging: davidf.altamirano@xdr.hhchealthdirect.org
  • Direct secure messaging: daltamirano351274@direct.ynhh.org
  • Direct secure messaging: david.altamirano@xdr.hhchealthdirect.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 051804 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

59 Michael LN
Naugatuck, CT 06770-1556
Phone (203) 490-7918

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2013.

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1104139963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MICHAEL LN",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067701556",
            "telephone_number": "203-490-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "DAVID",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "051804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.