Jonathan Norton Bowman, M.D.
Individual provider Active NPI Vascular Surgery Physician · Darien, CT
NPI 1104851294 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1104851294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 050475 (CT)
- Practice address
- 85 Old Kings Hwy N
Darien, CT 06820-4732 - Phone
- (203) 210-6333
- Fax
- (203) 502-2615
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- University of Virginia School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Connecticut Vascular Center LLC
Practice addresses (Care Compare)
85 Old Kings Hwy N
The Vascular Experts
Darien, CT 06820-4732
Phone (203) 956-6819
Hospital & facility affiliations
- Stamford Hospital
- Norwalk Hospital
- Danbury Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.63 of 100
- Promoting interoperability
- 88
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 45 |
| Leg revascularization (restoring blood flow) | 40 |
| Removal of tissue | 136 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120629000036 | CT | Practitioner - Vascular Surgery | 9133397003 | Reassigns benefits to 1 organization |
| I20210316000148 | NY | Practitioner - Vascular Surgery | 9133397003 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050475 | CT | MD | Vascular Surgery Physician |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Vascular Group, PLLC | Vascular Surgery | Current |
Accepting new patients |
Locations
6 Research Dr
Ste 105
Shelton, CT 06484
Phone (203) 210-6717
19 Laurel Ave
Ste 102
Cornwall, NY 12518
Phone (203) 210-6340
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jbowman42450@direct.ynhh.org
- jonathan.bowman.1@32135.direct.athenahealth.com
- jbowman@vascularexperts.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 050475 | CT | Yes |
Addresses
Primary practice location
85 Old Kings Hwy N
Darien, CT 06820-4732
Mailing address
6 Research Dr Ste 105
Shelton, CT 06484-6228
Phone (203) 210-6340
Other providers in Darien, CT
- Yvette Medici Borecki
- Diana Louise Botticelli
- Denis A Bouboulis
- Madison Boukas
- Eva Bourke
- Ervin Braun
- Joanne Briggs
- Brooke'S Homecare
- Melanie Lyn Brown
- Michele D Brown
All providers in Darien, CT · Vascular Surgery Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.