Individual provider Active NPI

Monika Kaul, MD

  • Family Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1154569200
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47059 Issued in CT
Practice address
64 Black Rock Ave
Bridgeport, CT 06605
Phone
(203) 579-5000
Fax
(203) 579-5113
NPI assigned
Jan 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47059 CT Primary

Addresses

Primary practice location

64 Black Rock Ave
Bridgeport, CT 06605

Mailing address

2660 Main St 216
Bridgeport, CT 06606-5301
Phone (203) 576-5346

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
I20090717000280 CT Practitioner - Family Practice 6901958214 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

3272 Main St
Stratford, CT 06614-4819
Phone (203) 380-3920

Hospital & facility affiliations

  • Stratford Vna Home health agency, Stratford, CT, CCN 077001
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Neighborhood Health, Inc. Family Medicine CurrentSince May 1, 2015 Accepting new patients
Optimus Health Care Inc CurrentSince May 1, 2014 Accepting new patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Jun 1, 2016 Accepting new patients

Locations

471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864

2660 Main St
Ste 216
Bridgeport, CT 06606
Phone (203) 335-0919

64 Black Rock Ave
Bridgeport, CT 06605
Phone (203) 579-5000

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260

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

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

3272 Main St
Stratford, CT 06614
Phone (203) 380-3910

80 Phoenix Ave
Ste 201
Waterbury, CT 06702
Phone (203) 757-5491

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

Interoperability endpoints

  • Direct secure messaging: monika.kaul@xdr.hhchealthdirect.org

Organizations & group practices 6

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 3

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1154569200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 MAIN ST 216",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065301",
            "telephone_number": "203-576-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BLACK ROCK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06605",
            "telephone_number": "203-579-5000",
            "fax_number": "203-579-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUL",
        "first_name": "MONIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "47059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.