Individual provider Active NPI

Christopher Loscalzo

  • Cardiovascular Disease Physician
  • New Haven, CT
National Provider Identifier
1265443519
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
030648 Issued in CT
Practice address
40 Temple St
New Haven, CT 06510-2715
Phone
(203) 789-2272
Fax
(203) 865-8614
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 030648 CT Primary

Addresses

Primary practice location

40 Temple St
New Haven, CT 06510-2715

Mailing address

67 Wepawaug Rd
Woodbridge, CT 06525-2424
Phone (203) 389-6402

Other identifiers 2

IdentifierTypeStateIssuer
060019530OtherCTMEDICARE RAILROAD PIN
001306481MedicaidCT

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
I20061227000218 CT Practitioner - Cardiovascular Disease (Cardiology) 7517967425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030648CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Feb 21, 2013 Accepting new patients
Yale University Current Accepting new patients
Yale University CurrentSince Feb 21, 2013 Accepting new patients
Hospital of Saint Raphael Past Accepting new patients
Saint Raphael Faculty Physicians Cardiovascular Disease Past Accepting new patients
Cardiology Associates of New Haven, PC Cardiovascular Disease Past Accepting new patients

Locations

40 Temple St
New Haven, CT 06510
Phone (203) 785-2020

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

659 George St
New Haven, CT 06511
Phone (203) 789-3260

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

5 Pequot Park Rd
Ste 101
Westbrook, CT 06498
Phone (860) 399-3100

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1265443519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WEPAWAUG RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252424",
            "telephone_number": "203-389-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TEMPLE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102715",
            "telephone_number": "203-789-2272",
            "fax_number": "203-865-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSCALZO",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "030648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "060019530",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001306481",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.