Individual provider Active NPI

Jude F Clancy, MD

  • Clinical Cardiac Electrophysiology Physician
  • Middletown, CT
National Provider Identifier
1124016217
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
037893 Issued in CT
Practice address
420 Saybrook Rd
Middletown, CT 06457-4859
Phone
(203) 678-1050
Fax
(860) 696-2045
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 037893 CT Primary

Addresses

Primary practice location

420 Saybrook Rd
Middletown, CT 06457-4859

Mailing address

420 Saybrook Rd
Middletown, CT 06457-4859
Phone (203) 678-1050

Other identifiers 1

IdentifierTypeStateIssuer
001378935MedicaidCT

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
I20061024000294 CT Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1557368156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Massachusetts Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

863 N Main St Ext
Suite 101
Wallingford, CT 06492-2434
Phone (203) 269-3791

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair47
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037893CTMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Apr 19, 2022 Accepting new patients
Yale University CurrentSince Jul 1, 2001 Accepting new patients
Yale University CurrentSince Jul 1, 2001 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Apr 19, 2022 Accepting new patients
Yale University Current Accepting new patients
Northeast Medical Group, Inc. Cardiovascular Disease CurrentSince Apr 1, 2017 Accepting new patients
Yale University Past Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients

Locations

280 S Main St
Cheshire, CT 06410
Phone (203) 271-3296

111 Goose Ln
Ste 2400
Guilford, CT 06437
Phone (203) 458-2097

420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

79 Wawecus St
Ste 106
Norwich, CT 06360
Phone (860) 886-2679

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

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

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

67 Masonic Ave
Fl 1
Wallingford, CT 06492
Phone (203) 265-0355

863 N Main Street Ext
Ste 101
Wallingford, CT 06492
Phone (203) 269-3791

196 Parkway S
Ste 103
Waterford, CT 06385
Phone (860) 443-4383

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: jclancy8122@direct.ynhh.org
  • Direct secure messaging: jude.clancy@xdr.hhchealthdirect.org

Organizations & group practices 9

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 5

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1124016217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574859",
            "telephone_number": "203-678-1050",
            "fax_number": "860-696-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574859",
            "telephone_number": "203-678-1050",
            "fax_number": "860-696-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "JUDE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CT",
            "license": "037893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001378935",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.