Individual provider Active NPI

Lee J Goldstein, MD

  • Vascular Surgery Physician
  • Stratford, CT
National Provider Identifier
1164579181
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
52731 Issued in CT
Practice address
495 Hawley LN
Suite 2a
Stratford, CT 06614-1514
Phone
(203) 210-6333
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 52731 CT Primary

Addresses

Primary practice location

495 Hawley LN
Suite 2a
Stratford, CT 06614-1514

Mailing address

10 Brianna LN
Easton, CT 06612-1660
Phone (203) 210-6333

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
I20140317000305 CT Practitioner - Vascular Surgery 8022154178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Yale University School of Medicine, 2000
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)

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
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • 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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue747
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Vascular Surgery CurrentSince Mar 14, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 14, 2022 Accepting new patients
Connecticut Vascular Surgical Associates, PC Vascular Surgery CurrentSince Mar 16, 2020 Accepting new patients
Wilton Anesthesia Associates, LLC PastSince Mar 16, 2020 Accepting new patients

Locations

501 Kings Hwy E
Ste 112
Fairfield, CT 06825
Phone (203) 382-1900

100 Beard Sawmill Rd
Ste 250
Shelton, CT 06484
Phone (203) 227-1324

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

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

115 Technology Dr
Unit CP101
Trumbull, CT 06611
Phone (203) 372-7200

Interoperability endpoints

  • Direct secure messaging: leej.goldstein@xdr.hhchealthdirect.org

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1164579181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRIANNA LN",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121660",
            "telephone_number": "203-210-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HAWLEY LN",
            "address_2": "SUITE 2A",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141514",
            "telephone_number": "203-210-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "LEE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "52731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.