Charles Augenbraun, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Norwalk, CT
NPI 1205930997 · NPPES record last updated Aug 5, 2010
Key facts
- NPI
- 1205930997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 026229 (CT)
- Practice address
- 40 Cross St
Suite 200
Norwalk, CT 06851-4647 - Phone
- (203) 845-2160
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Pennsylvania State University College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Healthcare Medical Group Specialists PLLC
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695
32 Knight St
Suite 101
Norwalk, CT 06851-4707
Phone (203) 845-2460
Hospital & facility affiliations
- St Vincent'S Medical Center
- Norwalk Hospital
- Greenwich Hospital Association -
- Danbury Hospital
- Stamford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011001104 | CT | Practitioner - Cardiovascular Disease (Cardiology) | 2466344916 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026229 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Cardiovascular Disease | Current |
Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current |
Accepting new patients | |
| SVMC Holdings, Inc | Current |
Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
2720 Main St
Ste 1
Bridgeport, CT 06606
425 Post Rd
Ste 204
Fairfield, CT 06824
Phone (203) 254-1576
32 Knight St
Ste 102
Norwalk, CT 06851
Phone (203) 845-2160
40 Cross St
Ste 200A
Norwalk, CT 06851
Phone (203) 845-2160
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
1177 Summer St
Fl 5
Stamford, CT 06905
Phone (203) 353-1133
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
Interoperability endpoints
- charles.augenbraun@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 026229 | CT | Yes |
| Interventional Cardiology Physician | 207RI0011X | 026229 | CT | |
| Diagnostic Ultrasound Physician | 2085U0001X | 026229 | CT |
Addresses
Primary practice location
40 Cross St
Suite 200
Norwalk, CT 06851-4647
Mailing address
1177 Summer St
5TH Floor
Stamford, CT 06905-5572
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1262295 | Medicaid | CT |
NPI Registry JSON
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1205930997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 SUMMER ST",
"address_2": "5TH FLOOR",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CROSS ST",
"address_2": "SUITE 200",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514647",
"telephone_number": "203-845-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGENBRAUN",
"first_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "026229",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CT",
"license": "026229",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CT",
"license": "026229",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1262295",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
- Associates in Family Chiropractic and Natural Health Care, P.C.
- Elizabeth Atkin
- Alexandre Hillel Atlan
- Attune, LLC
- Lauren Fiorito Audibert
- Deborah August
- Brittney Monique Augustin
- Robert Arthur Aumann Jr.
- Vanessa Aurilia Stultz
- Aurora Senior Living of Norwalk, LLC
All providers in Norwalk, CT · Cardiovascular Disease Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.