Michael Adrian Ayepah, M.D.
Individual provider Active NPI Internal Medicine Physician · New Haven, CT
NPI 1114109485 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1114109485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 46491 (CT)
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4405 - Phone
- (203) 789-3034
- Fax
- (203) 789-5184
- NPI assigned
- Nov 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Medical Group Inc
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4741
Hospital & facility affiliations
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20080721000163 | CT | Practitioner - Internal Medicine |
9739252040 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Saint Raphael Faculty Physicians | Internal Medicine | Past | Accepting new patients |
Locations
20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741
1450 Chapel St
#232
New Haven, CT 06511
1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- mayepah100168@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 46491 | CT | Yes |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4405
Mailing address
1450 Chapel Street
HSR Faculty Practice Main 232
New Haven, CT 06511
Phone (203) 789-3034
Other providers in New Haven, CT
- Alfredo Axtmayer II
- Trystan James Ayala
- Elizabeth Nayiri Ayanian
- Omair Ayaz
- Cephas Ayellakai
- Rina Ayepah
- Audrey Ayers
- Oluwaseun Faith Ayoade
- Paola Ayora
- Elizabeth Maria Ayotte
All providers in New Haven, CT · Internal Medicine 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 Jan 4, 2011. 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.