Marsel Huribal, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

031750 Issued in CT

Practice address

495 Hawley LN Ste 2a
Stratford, CT 06614-1597

Phone

(203) 375-2861

Fax

(203) 502-2615

NPI assigned

Aug 9, 2006

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Specialty

Vascular Surgery

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Connecticut Vascular Center LLCGroup PAC ID 8527951532, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: marsel.huribal.1@32135.direct.athenahealth.com
• Direct secure messaging: mhuribal@direct.wtbyhosp.org
• Direct secure messaging: mhuribal@vascularexperts.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Connecticut Vascular Center, LLC

  dba The Vascular Experts

  • Vascular Surgery Physician
  • Stratford, CT
  • NPI 1033318175
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1992910152
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1205846243",
    "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",
            "fax_number": "203-502-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HAWLEY LN STE 2A",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141597",
            "telephone_number": "203-375-2861",
            "fax_number": "203-502-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURIBAL",
        "first_name": "MARSEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "031750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis F Hopkins, PH.D.
• Hospital Dental Associates of Connecticut Inc
• Sarah Howard, BCBA
• Nancy D Humphreys, MS, MSW
• Mary Susan Hungerford, A.P.R.N.
• Robert Joseph Hurley, LCSW
• John Joseph Hynes Jr., RPH
• Insight Behavioral Health LLC
• Internal Medicine and Infectious Disease Associated P.C. (iNTERNAL MEDICINE AND INFECTIOUS DISEASE ASSOC P. C.)
• Internal Medicine of Dr.Karkanitsa, LLC

• Vascular Surgery Physician in Stratford, CT
• Providers in Stratford, CT by specialty
• Vascular Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.

Verify at the official NPI Registry.