Individual provider Active NPI

Anne W Camp, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New Haven, CT
National Provider Identifier
1295702181
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
035575 Issued in CT
Practice address
374 Grand Ave
New Haven, CT 06513
Phone
(203) 777-7411
Fax
(203) 777-8506
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 033575 CT
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 035575 CT Primary

Addresses

Primary practice location

374 Grand Ave
New Haven, CT 06513

Mailing address

374 Grand Ave
New Haven, CT 06513
Phone (203) 777-7411

Other identifiers 1

IdentifierTypeStateIssuer
001335763MedicaidCT

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
I20110504000463 CT Practitioner - Internal MedicinePractitioner - Endocrinology 4082899109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Vanderbilt University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fair Haven Community Health Clinic IncGroup PAC ID 4183511538, 45 clinicians

Practice addresses (Care Compare)

100 James St
New Haven, CT 06513-4222
Phone (203) 777-7411

164 Grand Ave
New Haven, CT 06513-3938
Phone (203) 777-7411

293 Clinton Ave
New Haven, CT 06513-2814
Phone (203) 777-7411

339 Eastern St
BLDG B
New Haven, CT 06513-2463
Phone (203) 777-7411

35 Wheelbarrow LN
East Haven, CT 06513-2003
Phone (203) 777-7411

374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-7411

374 Grand Ave
New Haven, CT 06513-3787

50 Grand Ave
New Haven, CT 06513-3949
Phone (203) 777-7411

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033575CTMDInternal Medicine Physician
035575CTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Haven Community Health Clinic, Inc CurrentSince Mar 18, 2011 Accepting new patients
Fair Haven Community Health Clinic Inc. CurrentSince Mar 18, 2011 Accepting new patients
Fair Haven Community Health Clinic Inc Current Accepting new patients

Locations

374 Grand Ave
New Haven, CT 06513
Phone (203) 752-5203

Interoperability endpoints

  • Direct secure messaging: acamp2674@direct.ynhh.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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1295702181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-777-7411",
            "fax_number": "203-777-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-777-7411",
            "fax_number": "203-777-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "ANNE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "033575",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "035575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001335763",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.