Lisa C Kugelman, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

031336 Issued in CT

Practice address

65 Memorial Rd
Suite 450
West Hartford, CT 06107-2434

Phone

(860) 523-1087

Fax

(860) 523-1472

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Dermatology

Education

University of Connecticut School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hartford Dermatology Associates PCGroup PAC ID 8628158334, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Hartford Dermatology Associates PC

  • Procedural Dermatology Physician
  • West Hartford, CT
  • NPI 1467588343
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1235173873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MEMORIAL RD",
            "address_2": "SUITE 450",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072434",
            "telephone_number": "860-523-1087",
            "fax_number": "860-523-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MEMORIAL RD",
            "address_2": "SUITE 450",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072434",
            "telephone_number": "860-523-1087",
            "fax_number": "860-523-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGELMAN",
        "first_name": "LISA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CT",
            "license": "031336",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "031336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sondra Kronick, LMFT,LADC
• Pavel Krubitski
• Julia Krulee
• Peggy Ku, D.O.
• Nike Itohan Kubeyinje, MD
• Michelle Kuhl
• Danielle Kuhlman
• Shannon Quinn Kulak, LCSW
• Lisa A. Kuntz, ED.D.
• Theanvy Kuoch

• Procedural Dermatology Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Procedural Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.