Active NPI
Michael Phillip Dorfman, M.D.
- Gastroenterology Physician
- Branford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 050682
- Practice address
- 1224 Main St
Branford, CT 06405-3778 - Phone
- (203) 481-0315
- NPI assigned
- May 31, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 050682 | CT | Primary |
Addresses
Primary practice location
1224 Main St
Branford, CT 06405-3778
Mailing address
687 Main St
Branford, CT 06405-3612
Phone (203) 481-7050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- State University of New York at Stony Brook, School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Pequot Park Rd
Westbrook, CT 06498-2856
687 Main St
Branford, CT 06405-3612
Phone (203) 481-0315
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 85 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050682 | CT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Disease Associates, LLC | Gastroenterology | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Northeast Medical Group, Inc | Current | Accepting new patients | |
| Digestive Disease Associates Endoscopy Suite, LLC | Current | Accepting new patients |
Locations
687 Main St
Branford, CT 06405
Phone (203) 315-7070
1224 Main St
Branford, CT 06405
Phone (203) 481-0315
229 Montowese St
Branford, CT 06405
Phone (203) 481-0315
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
5 Pequot Park Rd
Ste 201
Westbrook, CT 06498
Phone (860) 399-0168
Interoperability endpoints
- mdorfman42350@direct.ynhh.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.
-
- Gastroenterology Physician
- Branford, CT
- NPI 1356480578
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Ambulatory Surgical Clinic/Center
- Branford, CT
- NPI 1972758183
-
- Cardiovascular Disease Physician
- Fairfield, CT
- NPI 1366745267
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1164658555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053612",
"telephone_number": "203-481-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053778",
"telephone_number": "203-481-0315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "MICHAEL",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-31",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "050682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.