Active NPI
Carlos I Mena-Hurtado, MD
- Cardiovascular Disease Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 042842
- Practice address
- 333 Cedar St
Yale Physicians Building
New Haven, CT 06510-3206 - Phone
- (203) 785-6484
- NPI assigned
- Feb 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042842 | CT | |
| Cardiovascular Disease Physician | 207RC0000X | 042842 | CT | Primary |
Addresses
Primary practice location
333 Cedar St
Yale Physicians Building
New Haven, CT 06510-3206
Mailing address
333 Cedar St
PO Box 208017
New Haven, CT 06510-3206
Phone (203) 785-6484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001428425 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
84 N Main St
Branford, CT 06405-3061
Phone (203) 483-8300
Hospital & facility affiliations
- Yale-New Haven Hospital
- Lawrence & Memorial Hospital
- Bridgeport Hospital
- Greenwich Hospital Association -
- Westerly Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 67 |
| Leg revascularization (restoring blood flow) | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042842 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Internal Medicine | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Northeast Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Eastern CT Cardiology Diagnostics, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Eastern Conn. Cardiology Group | Cardiovascular Disease | Past | Accepting new patients |
Locations
84 N Main St
Branford, CT 06405
Phone (203) 483-2015
1625 Straits Tpke
Ste 301
Middlebury, CT 06762
Phone (203) 573-7281
1625 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 573-9512
1625 Straits Tpke
Ste 302
Middlebury, CT 06762
Phone (203) 759-0666
23 Clara Dr
Mystic, CT 06355
Phone (860) 443-7907
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
#329
New Haven, CT 06510
Phone (203) 688-1734
428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228
333 Cedar St
New Haven, CT 06510
Phone (203) 432-4771
194 Howard St
New London, CT 06320
Phone (860) 442-0564
4 Corporate Dr
Ste 283
Shelton, CT 06484
Phone (203) 773-3055
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
196 Parkway S
Ste 103
Waterford, CT 06385
Phone (860) 443-4383
18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252
25 Wells St
Westerly, RI 02891
Phone (401) 348-3325
45 East Ave
Westerly, RI 02891
Phone (401) 596-6000
Interoperability endpoints
- cmenahurtado8200@direct.ynhh.org
Organizations & group practices 6
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.
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Cardiovascular Disease Physician
- Waterford, CT
- NPI 1336192608
-
- Cardiovascular Disease Physician
- Waterford, CT
- NPI 1548211188
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
-
- General Acute Care Hospital
- Westerly, RI
- NPI 1447595368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1205800273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"address_2": "PO BOX 208017",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-785-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"address_2": "YALE PHYSICIANS BUILDING",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-785-6484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENA-HURTADO",
"first_name": "CARLOS",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "042842",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "042842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001428425",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.