Individual provider Active NPI

Daniel Ebbs, DO, MS, NRP

  • Pediatrics Physician
  • New Haven, CT
National Provider Identifier
1275053530
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
66531 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(408) 691-1480
NPI assigned
Jun 27, 2017
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 66531 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

Yale University
20 York Street
New Haven, CT 06510-8761
Phone (408) 691-1480

Other identifiers 1

IdentifierTypeStateIssuer
16728OtherCACA LICENSE

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
I20220908003185 CT Practitioner - Pediatric Medicine 3678530508 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Aug 1, 2023 Accepting new patients
Yale University Pediatrics Current Accepting new patients
Yale University CurrentSince Aug 1, 2023 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Aug 24, 2022 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Aug 24, 2022 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

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

1 Park St
North Haven, CT 06504
Phone (203) 785-2701

20 York St
North Haven, CT 06510
Phone (203) 688-2433

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

Interoperability endpoints

  • Direct secure messaging: debbs463172@direct.ynhh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1275053530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "YALE UNIVERSITY",
            "address_2": "20 YORK STREET",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065108761",
            "telephone_number": "408-691-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "408-691-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBS",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO, MS, NRP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-04-18",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "66531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "16728",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.