Individual provider Active NPI

Beklen Kerimoglu, M.D.

  • Anesthesiology Physician
  • New London, CT
National Provider Identifier
1205013117
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
269734 Issued in NY
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(646) 263-9359
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01063105A IN
Anesthesiology Physician 207L00000X 269734 NY Primary

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

99 Hawley Lane
Floor 3 CB 3427
Stratford, CT 06614
Phone (646) 263-9359

Other practice location 1

1st Avenue at 16th Street
Beth Israel Medical Center/Petrie Division
New York, NY 10003-3851
Phone (212) 420-2385

Other practice location 2

1000 10th Ave
New York, NY 10019
Phone (800) 627-4470

Other practice location 3

52 Hazelnut Road
Lawrence and Memorial Hospital Pequot Center
Groton, CT 06340-1121
Phone (646) 263-9359

Other practice location 4

52 Hazelnut Road
Pequot Health Center
Groton, CT 06340
Phone (860) 446-8265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, RI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090126000265 NY Practitioner - Anesthesiology 1951465699 Reassigns benefits to 3 organizations
I20210309001279 CT Practitioner - Anesthesiology 1951465699 Reassigns benefits to 2 organizations
I20221020001307 RI Practitioner - Anesthesiology 1951465699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 444-3735

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

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
01063105AINMDSpecialist
269734NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Anesthesiology Current Accepting new patients
Northeast Medical Group, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 1, 2022 Accepting new patients
Yale University Anesthesiology CurrentSince Oct 5, 2025 Accepting new patients
York Anesthesiologists PLLC Anesthesiology CurrentSince Sep 1, 2013 Accepting new patients
Fpa Hospital Based Anesthesiology CurrentSince Mar 1, 2019 Accepting new patients
New York University CurrentSince Apr 1, 2017 Accepting new patients
Fpa Hospital Based CurrentSince Mar 1, 2019 Accepting new patients
Yale University CurrentSince Oct 5, 2025 Accepting new patients
New York University Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients

Locations

52 Hazelnut Hill Rd
Groton, CT 06340
Phone (860) 446-8265

20 York St
Fl 3
New Haven, CT 06510
Phone (203) 688-0715

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

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

99 Hawley Ln
Fl 3
Stratford, CT 06614
Phone (203) 502-4650

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

Interoperability endpoints

  • Direct secure messaging: bkerimoglu508492@direct.ynhh.org

Organizations & group practices 12

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 2

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1205013117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HAWLEY LANE",
            "address_2": "FLOOR 3 CB 3427",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06614",
            "telephone_number": "646-263-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "646-263-9359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1st Avenue at 16th Street",
            "address_2": "Beth Israel Medical Center/Petrie Division",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033851",
            "country_code": "US",
            "telephone_number": "212-420-2385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10019",
            "country_code": "US",
            "telephone_number": "800-627-4470",
            "fax_number": "412-937-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Hazelnut Road",
            "address_2": "Lawrence and Memorial Hospital Pequot Center",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "CT",
            "postal_code": "063401121",
            "country_code": "US",
            "telephone_number": "646-263-9359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Hazelnut Road",
            "address_2": "Pequot Health Center",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "CT",
            "postal_code": "06340",
            "country_code": "US",
            "telephone_number": "860-446-8265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERIMOGLU",
        "first_name": "BEKLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2022-01-11",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01063105A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "269734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.