NPIMap

Individual provider Active NPI

David F Crawley, M.D.

  • Urology Physician
  • New London, CT
National Provider Identifier
1225324239
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
054831 Issued in CT
Practice address
3 Shaws CV
Suite 206
New London, CT 06320-4952
Phone
(860) 443-0622
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 054831 CT Primary

Addresses

Primary practice location

3 Shaws CV
Suite 206
New London, CT 06320-4952

Mailing address

3 Shaws CV
Suite 206
New London, CT 06320-4952
Phone (860) 443-0622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160811001358 CT Practitioner - Urology 8820382948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

196 Pkwy S
Suite 201
Waterford, CT 06385
Phone (860) 425-5319

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Westerly Hospital Hospital, Westerly, RI, CCN 410013
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054831CTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Urology CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc Urology CurrentSince Aug 1, 2016 Accepting new patients
Hartford Healthcare Medical Group, Inc Urology Past Accepting new patients

Locations

3 Shaws Cv
Ste 206
New London, CT 06320
Phone (860) 443-0622

330 Washington St
Ste 350
Norwich, CT 06360
Phone (860) 886-1956

12 Case St
Ste 313
Norwich, CT 06360
Phone (860) 204-9126

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

5 Dayton Rd
Ste 202
Waterford, CT 06385
Phone (860) 886-1956

196 Parkway S
Ste 201
Waterford, CT 06385
Phone (860) 440-0688

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: david.crawley@xdr.hhchealthdirect.org

Organizations & group practices 4

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1225324239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHAWS CV",
            "address_2": "SUITE 206",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204952",
            "telephone_number": "860-443-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHAWS CV",
            "address_2": "SUITE 206",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204952",
            "telephone_number": "860-443-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWLEY",
        "first_name": "DAVID",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "054831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.