Active NPI
Mark Somers, M.D.
- Cardiovascular Disease Physician
- Waterford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 39440
- Practice address
- 196 Parkway South
Suite 103
Waterford, CT 06385 - Phone
- (860) 443-4383
- Fax
- (860) 443-3980
- NPI assigned
- Jun 13, 2006
- Last updated
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 39440 | CT | Primary |
Addresses
Primary practice location
196 Parkway South
Suite 103
Waterford, CT 06385
Mailing address
196 Parkway South
Suite 103
Waterford, CT 06385
Phone (860) 443-4383
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001394402 | Medicaid | CT | |
| 0V8893 | Other | HEALTHNET/ECCG:06-1049086 | |
| 001394402 | Other | BLUECARE FAMILY PLAN | |
| 010039440CT01 | Other | ANTHEM/ECCG: 06-1049086 | |
| 010039440CT03 | Other | ANTHEM/ECCD:06-1616101 | |
| 060064823 | Other | RR MED/ECCD:06-1616101 | |
| 0V7317 | Other | HEALTHNET/ECCD:06-1616101 | |
| P2524336 | Other | OXFORD/ECCD:06-1616101 | |
| 038610 | Other | CONNECTICARE | |
| 500HBC444CT01 | Other | ANTHEM:HOSP-BASED ECCD | |
| P2375792 | Other | OXFORD/ECCG:06-1049086 | |
| 060063797 | Other | RR MED/ECCG:06-1049086 |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Duke University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
196 Pkwy S
Suite 103
Waterford, CT 06385
Phone (860) 443-4383
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39440 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Eastern Conn. Cardiology Group | Cardiovascular Disease | Past | Accepting new patients |
| Eastern CT Cardiology Diagnostics, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Ocean Radiology Associates PC | Past | Accepting new patients |
Locations
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
365 Montauk Ave
#L
New London, CT 06320
Phone (860) 449-4383
50 Faire Harbour Pl
Ste 2A
New London, CT 06320
Phone (860) 442-0564
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
196 Parkway S
Ste 103
Waterford, CT 06385
Phone (860) 443-4383
Interoperability endpoints
- msomers187923@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Waterford, CT
- NPI 1336192608
-
- Cardiovascular Disease Physician
- Waterford, CT
- NPI 1548211188
-
- Diagnostic Radiology Physician
- New London, CT
- NPI 1922166073
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lawrence and Memorial Hospital
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
dba Lawrence and Memorial Hospital
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1255374864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 PARKWAY SOUTH",
"address_2": "SUITE 103",
"city": "WATERFORD",
"state": "CT",
"postal_code": "06385",
"telephone_number": "860-443-4383",
"fax_number": "860-443-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 PARKWAY SOUTH",
"address_2": "SUITE 103",
"city": "WATERFORD",
"state": "CT",
"postal_code": "06385",
"telephone_number": "860-443-4383",
"fax_number": "860-443-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMERS",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "39440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001394402",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/ECCG:06-1049086",
"identifier": "0V8893",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE FAMILY PLAN",
"identifier": "001394402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/ECCG: 06-1049086",
"identifier": "010039440CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/ECCD:06-1616101",
"identifier": "010039440CT03",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MED/ECCD:06-1616101",
"identifier": "060064823",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/ECCD:06-1616101",
"identifier": "0V7317",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD/ECCD:06-1616101",
"identifier": "P2524336",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "038610",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM:HOSP-BASED ECCD",
"identifier": "500HBC444CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD/ECCG:06-1049086",
"identifier": "P2375792",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MED/ECCG:06-1049086",
"identifier": "060063797",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.