Individual provider Active NPI

David M Radin, MD

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1225076193
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
033028 Issued in CT
Practice address
144 Morgan St Ste 10
Stamford, CT 06905-5433
Phone
(203) 359-4888
Fax
(203) 359-6983
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 033028 CT Primary

Addresses

Primary practice location

144 Morgan St Ste 10
Stamford, CT 06905-5433

Mailing address

144 Morgan St Ste 10
Stamford, CT 06905-5433
Phone (203) 359-4888

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070921000574 CT Practitioner - Internal Medicine 7810081742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

144 Morgan St
Suite 10
Stamford, CT 06905-5433
Phone (203) 359-4888

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Shelton, CT, CCN 077136
  • Visiting Nurse & Hospice of Fairfield County, Inc Home health agency, Wilton, CT, CCN 077074
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033028CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Stamford PC Internal Medicine CurrentSince Sep 15, 2007 Accepting new patients

Locations

144 Morgan St
Ste 10
Stamford, CT 06905
Phone (203) 359-4888

Interoperability endpoints

  • Direct secure messaging: david.radin.1@29112.direct.athenahealth.com

Organizations & group practices 2

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 9

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1225076193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MORGAN ST STE 10",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055433",
            "telephone_number": "203-359-4888",
            "fax_number": "203-359-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MORGAN ST STE 10",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055433",
            "telephone_number": "203-359-4888",
            "fax_number": "203-359-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADIN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "033028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.