Individual provider Active NPI

Harry Ma, M.D./PHD

  • Vascular Surgery Physician
  • New London, CT
National Provider Identifier
1174763957
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
55618 Issued in CT
Practice address
2 Shaws CV Ste 203
New London, CT 06320-4975
Phone
(203) 375-2861
Fax
(203) 375-5615
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 55618 CT
Surgery Physician 208600000X 241896 MA
Surgery Physician 208600000X 248565-1 NY
Vascular Surgery Physician 2086S0129X MD15597 RI
Vascular Surgery Physician 2086S0129X 55618 CT Primary

Addresses

Primary practice location

2 Shaws CV Ste 203
New London, CT 06320-4975

Mailing address

6 Research Dr Ste 105
Shelton, CT 06484-6228
Phone (203) 210-6340

Other practice location 1

35 Wells St Unit 3
Westerly, RI 02891-2962
Phone (401) 315-9575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 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
I20161021001338 CT Practitioner - Vascular Surgery 7911043351 Reassigns benefits to 2 organizations
I20180427000215 RI Practitioner - Vascular Surgery 7911043351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Connecticut Vascular Center LLCGroup PAC ID 8527951532, 32 clinicians
Rhode Island Vascular Center, LLCGroup PAC ID 4587996640, 6 clinicians

Practice addresses (Care Compare)

2 Shaws CV
New London, CT 06320-4975
Phone (860) 772-0380

35 Wells St
Westerly, RI 02891-2962
Phone (401) 315-9575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.2 of 100Reported as group
Quality
91.3
Improvement activities
40
Cost
89.14

Merit-based Incentive Payment System (MIPS)

Final score
97.63 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal49
Leg revascularization (restoring blood flow)41
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248565-1NYMDSurgery Physician
MD15597RIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Vascular Center, LLC Vascular Surgery CurrentSince Sep 2, 2019 Accepting new patients

Locations

2 Shaws Cv
Ste 203
New London, CT 06320
Phone (860) 772-0380

2 Shaws Cv
New London, CT 06320
Phone (860) 772-0380

599 Middlesex Tpke
Old Saybrook, CT 06475
Phone (203) 799-1252

6 Research Dr
Ste 105
Shelton, CT 06484
Phone (203) 210-6717

3461 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 471-6850

70 Kenyon Ave
Unit 216
Wakefield, RI 02879
Phone (401) 661-8088

70 Kenyon Ave
Ste L60
Wakefield, RI 02879
Phone (401) 661-8088

35 Wells St
Unit 3
Westerly, RI 02891
Phone (401) 315-9575

35 Wells St
Unit 5
Westerly, RI 02891
Phone (401) 315-9575

Interoperability endpoints

  • Direct secure messaging: harry.ma.1@32135.direct.athenahealth.com
  • Direct secure messaging: hma352460@direct.ynhh.org
  • Direct secure messaging: harry.ma.2@32237.direct.athenahealth.com
  • Direct secure messaging: hma@vascularexperts.directbygreenway.com

Organizations & group practices 2

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 9

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": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1174763957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RESEARCH DR STE 105",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846228",
            "telephone_number": "203-210-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHAWS CV STE 203",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204975",
            "telephone_number": "203-375-2861",
            "fax_number": "203-375-5615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Wells St Unit 3",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912962",
            "country_code": "US",
            "telephone_number": "401-315-9575",
            "fax_number": "401-315-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "HARRY",
        "credential": "M.D./PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "55618",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "241896",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "248565-1",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "RI",
            "license": "MD15597",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "55618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.