David Keith Emmel, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

24341 Issued in CT

Practice address

1260 Silas Deane Hwy
Suite 110
Wethersfield, CT 06109-4362

Phone

(860) 721-8960

Fax

(860) 563-2030

NPI assigned

Sep 16, 2006

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Starling Physicians, PLLC

  • Internal Medicine Physician
  • Rocky Hill, CT
  • NPI 1467537290
  Medicare reassignment NPD
• Starling Physicians PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, CT
  • NPI 1760355861
  NPD
• Starling Physicians, PLLC

  dba Starling Physicians PC

  • Mammography Clinic/Center
  • New Britain, CT
  • NPI 1720182991
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1225134208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672353",
            "telephone_number": "860-258-3480",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY",
            "address_2": "SUITE 110",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094362",
            "telephone_number": "860-721-8960",
            "fax_number": "860-563-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMEL",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "24341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010024341CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2043695",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001243419",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "0243410",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0811678",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "052156",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristen Dyer, ATC
• Eastern Rehabiltation Network
• Jefferson Ebube, MD
• Kristin Elek, APRN
• Ahmed Elwan, MD, RPVI
• Empowering Change Counseling Services, LLC
• Ellyssa L Eror, MD
• Ezzedine Counseling Services, LLC
• Frances Arlene Fallon, MFT,LADC
• Sherif Farouk Khodiri Mahmoud

• Ophthalmology Physician in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.