NPIMap

Individual provider Active NPI

Kiyoko Tomita, M.D.

  • Internal Medicine Physician
  • Greenwich, CT
National Provider Identifier
1194041947
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
051974 Issued in CT
Practice address
15 Valley Dr
Greenwich, CT 06831-5205
Phone
(203) 422-7251
NPI assigned
Apr 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 051974 CT Primary

Addresses

Primary practice location

15 Valley Dr
Greenwich, CT 06831-5205

Mailing address

15 Valley Dr
Greenwich, CT 06831-5205
Phone (203) 422-7251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000361 CT Practitioner - Internal Medicine 8022250356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

15 Valley Dr
Suite 2
Greenwich, CT 06831-5202
Phone (203) 869-2111

Hospital & facility affiliations

  • Health Care Connectors LLC Home health agency, Greenwich, CT, CCN 077278
  • Sterling Care LLC Home health agency, Greenwich, CT, CCN 077252
  • Tender Loving Care, an Amedisys Company Home health agency, Carle Place, NY, CCN 337143
  • Visiting Nurse & Hospice of Fairfield County, Inc Home health agency, Wilton, CT, CCN 077074
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051974CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Jun 19, 2019 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Greenwich Hospital CurrentSince Jun 19, 2019 Accepting new patients

Locations

15 Valley Dr
Ste 2
Greenwich, CT 06831
Phone (203) 869-2111

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

500 W Putnam Ave
Ste 100
Greenwich, CT 06830
Phone (203) 863-2900

15 Valley Dr
Greenwich, CT 06831
Phone (203) 869-2111

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: ktomita7714@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.

Hospital & facility affiliations 12

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": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1194041947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VALLEY DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315205",
            "telephone_number": "203-422-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VALLEY DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315205",
            "telephone_number": "203-422-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMITA",
        "first_name": "KIYOKO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-18",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "051974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.