Margaret J Bia, MD
Individual provider Active NPI Nephrology Physician · New Haven, CT
NPI 1114901980 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1114901980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 017703 (CT)
- Practice address
- 789 Howard Ave
Dana Building-3Rd Floor
New Haven, CT 06519-1304 - Phone
- (203) 785-4184
- Fax
- (203) 785-7068
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20081120000895 | CT | Practitioner - Nephrology | 0042370074 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017703 | CT | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell Scott Hill Health Corporation | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
789 Howard Ave
Bldg 3RD
New Haven, CT 06519
Phone (203) 737-1932
428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228
Interoperability endpoints
- mbia8104@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 017703 | CT | Yes |
Addresses
Primary practice location
789 Howard Ave
Dana Building-3Rd Floor
New Haven, CT 06519-1304
Mailing address
PO Box 9805
300 George St, 6TH Floor
New Haven, CT 06536-0805
Phone (203) 785-7998
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001177039 | Medicaid | CT |
NPI Registry JSON
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1114901980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9805",
"address_2": "300 GEORGE ST, 6TH FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065360805",
"telephone_number": "203-785-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 HOWARD AVE",
"address_2": "DANA BUILDING-3RD FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191304",
"telephone_number": "203-785-4184",
"fax_number": "203-785-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIA",
"first_name": "MARGARET",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "017703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001177039",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
- Shaman Bhullar
- Adil Bhutta
- Urmila Bhuvanesh
- Christina Lin Bi
- Joshua Reed Bia
- Mark S Bianchi
- Sean Douglas Bickerton
- David Bickford
- Aram Bidikian
- Nayda Bidikian
All providers in New Haven, CT · Nephrology 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 May 22, 2008. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.