Individual provider Active NPI

Carlos I Mena-Hurtado, MD

  • Cardiovascular Disease Physician
  • New Haven, CT
National Provider Identifier
1205800273
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042842 Issued in CT
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

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001428425MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, 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
I20050818000213 CT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 1951331032 Reassigns benefits to 2 organizations
I20120416000655 NY Practitioner - Cardiovascular Disease (Cardiology) 1951331032 Reassigns benefits to 1 organization
I20190123003563 RI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1951331032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-8300

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Westerly Hospital Hospital, Westerly, RI, CCN 410013

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting67
Leg revascularization (restoring blood flow)42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042842CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Aug 2, 2017 Accepting new patients
Yale University CurrentSince Sep 1, 2009 Accepting new patients
Northeast Medical Group, PLLC Internal Medicine CurrentSince Sep 15, 2021 Accepting new patients
Eastern CT Cardiology Diagnostics, LLC Cardiovascular Disease Past Accepting new patients
Eastern Conn. Cardiology Group Cardiovascular Disease PastSince Jan 1, 2006 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.