Kenneth Scott Backman, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

038854 Issued in CT

Practice address

55 Walls Dr
Ste. 405
Fairfield, CT 06824-5163

Phone

(203) 259-7070

Fax

(203) 254-7402

NPI assigned

Feb 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Allergy/Immunology

Education

University of Chicago, Pritzker School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Care of Fairfield County LLCGroup PAC ID 4688579980, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.backman@allergyasthmacareoffairfieldco.chartmakerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy and Asthma Care of Fairfield County, LLC

  • Allergy & Immunology Physician
  • Fairfield, CT
  • NPI 1710098645
  Medicare reassignment Care Compare group NPD Authorized official
• MVC CT

  dba Metro Vein Centers

  • Surgery Physician
  • Stamford, CT
  • NPI 1487397600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174595847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WALLS DR",
            "address_2": "STE. 405",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-259-7070",
            "fax_number": "203-254-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WALLS DR",
            "address_2": "STE. 405",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-259-7070",
            "fax_number": "203-254-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKMAN",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "038854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "010038854CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Babala, LCSW
• Tina Babu
• Jill Arronson Bachman, LCSW
• Andrea E Bachrach
• Henry A Backe, MD
• Brian C Baker, D.C.
• Roberto Luis Balado, PA-C
• Balanced Beginnings
• Balanced Being Counseling, LLC
• Balanced Zen LLC

• Allergy & Immunology Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Allergy & Immunology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.