NPIMap

Individual provider Active NPI

Molain Saintilus, M.D.

  • Internal Medicine Physician
  • Trumbull, CT
National Provider Identifier
1104189992
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
054098 Issued in CT
Practice address
112 Quarry Rd
Suite 220
Trumbull, CT 06611-4848
Phone
(203) 374-6162
Fax
(203) 374-1549
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 054098 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X 719291062 NY

Addresses

Primary practice location

112 Quarry Rd
Suite 220
Trumbull, CT 06611-4848

Mailing address

1 Richlee CT
Apartment 2S
Mineola, NY 11501-3619
Phone (347) 255-6026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618002096 CT Practitioner - Internal Medicine 9931410834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

4719 Madison Ave
Trumbull, CT 06611-1733
Phone (203) 268-3816

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

  • Stratford Vna Home health agency, Stratford, CT, CCN 077001
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054098CTMDInternal Medicine Physician
719291062NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jul 20, 2015 Accepting new patients

Locations

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

112 Quarry Rd
Ste 220
Trumbull, CT 06611
Phone (203) 374-6162

Interoperability endpoints

  • Direct secure messaging: msaintilus317909@direct.ynhh.org

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1104189992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHLEE CT",
            "address_2": "APARTMENT 2S",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013619",
            "telephone_number": "347-255-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD",
            "address_2": "SUITE 220",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114848",
            "telephone_number": "203-374-6162",
            "fax_number": "203-374-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINTILUS",
        "first_name": "MOLAIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "054098",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "719291062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.