Robert A Altbaum, M.D.
Individual provider Active NPI Internal Medicine Physician · Westport, CT
NPI 1285736124 · NPPES record last updated Sep 9, 2015
Key facts
- NPI
- 1285736124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 021030 (CT)
- Practice address
- 333 Post Road West
Westport, CT 06880-2425 - Phone
- (203) 226-0731
- Fax
- (203) 226-1792
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Harvard Medical School, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Norwalk Community Health Center Inc
Practice addresses (Care Compare)
120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100903000169 | CT | Practitioner - Internal Medicine | 3870677024 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021030 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk Community Health Center Inc | Current |
Accepting new patients |
Locations
120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCDGCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 021030 | CT | Yes |
Addresses
Primary practice location
333 Post Road West
Westport, CT 06880-2425
Mailing address
333 Post Rd W
Westport, CT 06880-4701
Phone (203) 226-0731
Other providers in Westport, CT
- Elizabeth Sarah Allen
- Maria Grace Allen
- Suzanne Allen
- Allergies, Asthma & Sinusitis Center, PC
- Lauren Frances Allison
- Brett Alters
- Gail Altieri
- Always Somewhere LLC
- Amanda Harmon, LCSW LLC
- Janaki Amin
All providers in Westport, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.