Individual provider Active NPI

Patrick Dolan

  • Surgery Physician
  • Norwalk, CT
National Provider Identifier
1144648767
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
75125 Issued in CT
Practice address
148 East Ave Ste 3a
Norwalk, CT 06851-5726
Phone
(203) 852-4934
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 289271-01 NY
Surgery Physician 208600000X 75125 CT Primary

Addresses

Primary practice location

148 East Ave Ste 3a
Norwalk, CT 06851-5726

Mailing address

148 East Ave Ste 3a
Norwalk, CT 06851-5726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220421002375 NY Practitioner - General Surgery 4789071721 Reassigns benefits to 1 organization
I20230914000273 CT Practitioner - General Surgery 4789071721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

148 E Ave
Norwalk, CT 06851-5721
Phone (203) 846-8885

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75125CTMDSurgery Physician
289271-01NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Jun 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2022 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Surgery CurrentSince Sep 5, 2023 Accepting new patients
Ny Presbyterian Hospital - Cornell Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131

36 Old Kings Hwy S
Darien, CT 06820
Phone (203) 655-8749

148 East Ave
Ste 3A
Norwalk, CT 06851
Phone (203) 852-3050

148 East Ave
Norwalk, CT 06851
Phone (203) 838-4886

761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160

1819 E 13th St
Brooklyn, NY 11229
Phone (718) 769-0707

13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

Organizations & group practices 4

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 4

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1144648767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 3A",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 3A",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515726",
            "telephone_number": "203-852-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "289271-01",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "75125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.