Individual provider Active NPI

Stephen J Huot, MD

  • Nephrology Physician
  • New Haven, CT
National Provider Identifier
1275518771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
028367 Issued in CT
Practice address
789 Howard Avenue
Dana Building 3Rd Floor
New Haven, CT 06510-8056
Phone
(203) 785-4629
Fax
(203) 785-7030
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 028367 CT Primary

Addresses

Primary practice location

789 Howard Avenue
Dana Building 3Rd Floor
New Haven, CT 06510-8056

Mailing address

333 Cedar Street
LMP 1074
New Haven, CT 06520-8033
Phone (203) 785-5644

Other identifiers 1

IdentifierTypeStateIssuer
001283671MedicaidCT

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
I20051129000271 CT Practitioner - Nephrology 8325068976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Duke University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornell Scott Hill Health CorporationGroup PAC ID 3072418359, 261 clinicians

Practice addresses (Care Compare)

428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jan 6, 1992 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Oct 26, 2020 Accepting new patients
Yale University CurrentSince Jan 6, 1992 Accepting new patients

Locations

1625 Straits Tpke
Ste 302
Middlebury, CT 06762
Phone (203) 759-0666

1625 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 573-9512

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

789 Howard Ave
Bldg 3RD
New Haven, CT 06519
Phone (203) 737-1932

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

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

333 Cedar St
#1074
New Haven, CT 06510

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

Interoperability endpoints

  • Direct secure messaging: shuot8275@direct.ynhh.org
  • Direct secure messaging: shuot@direct.wtbyhosp.org

Organizations & group practices 3

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275518771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR STREET",
            "address_2": "LMP 1074",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208033",
            "telephone_number": "203-785-5644",
            "fax_number": "203-785-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 HOWARD AVENUE",
            "address_2": "DANA BUILDING 3RD FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065108056",
            "telephone_number": "203-785-4629",
            "fax_number": "203-785-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUOT",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "028367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001283671",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.