Individual provider Active NPI

Tapan Dilipkumar Patel, M.D.

  • Otolaryngology Physician
  • North Haven, CT
National Provider Identifier
1225424252
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
68709 Issued in CT
Practice address
31 Broadway FL 2
North Haven, CT 06473-2363
Phone
(203) 234-1324
Fax
(203) 239-3047
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 68709 CT Primary

Addresses

Primary practice location

31 Broadway FL 2
North Haven, CT 06473-2363

Mailing address

31 Broadway FL 2
North Haven, CT 06473-2363
Phone (203) 234-1324

Other practice location 1

5 Pequot Park Rd
Westbrook, CT 06498-2856
Phone (203) 633-4325

Other practice location 2

954 Main St Ste 2
Branford, CT 06405-7727
Phone (203) 481-0003

Other practice location 3

46 Prince St Ste 601
New Haven, CT 06519-1634
Phone (203) 752-1726

Other identifiers 1

IdentifierTypeStateIssuer
68709OtherCTSTATE OF CT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ECW Health Information Exchange (HIE)

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
I20210816001720 CT Practitioner - Otolaryngology 6002247319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rutgers New Jersey Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ear, Nose and Throat Medical and Surgical Group, LLCGroup PAC ID 5698831212, 11 clinicians

Practice addresses (Care Compare)

46 Prince St
Suite 601
New Haven, CT 06519-1634
Phone (203) 752-1726

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 1, 2025 Accepting new patients
Ear Nose & Throat Medical and Surgical Group, LLC CurrentSince Sep 7, 2021 Accepting new patients

Locations

46 Prince St
Ste 601
New Haven, CT 06519
Phone (203) 752-1726

31 Broadway
North Haven, CT 06473
Phone (203) 234-1324

31 Broadway
Fl 2
North Haven, CT 06473
Phone (203) 234-1324

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

5 Pequot Park Rd
Westbrook, CT 06498
Phone (860) 339-3350

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEBFCA
  • Direct secure messaging: tpatel533568@direct.ynhh.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 4

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1225424252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BROADWAY FL 2",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732363",
            "telephone_number": "203-234-1324",
            "fax_number": "203-239-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BROADWAY FL 2",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732363",
            "telephone_number": "203-234-1324",
            "fax_number": "203-239-3047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Pequot Park Rd",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "CT",
            "postal_code": "064982856",
            "country_code": "US",
            "telephone_number": "203-633-4325",
            "fax_number": "203-239-3047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "954 Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064057727",
            "country_code": "US",
            "telephone_number": "203-481-0003",
            "fax_number": "203-239-3047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Prince St Ste 601",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191634",
            "country_code": "US",
            "telephone_number": "203-752-1726",
            "fax_number": "203-239-3047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TAPAN",
        "middle_name": "DILIPKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "68709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT",
            "identifier": "68709",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "31 Broadway Fl 2",
            "city": "North Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064732363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.