Individual provider Active NPI

Dmitry Anatolyevich Albin, M.D.

  • Internal Medicine Physician
  • New Milford, CT
National Provider Identifier
1295906345
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53878 Issued in CT
Practice address
11 Old Park Lane Rd
New Milford, CT 06776-2507
Phone
(860) 355-1149
Fax
(860) 210-2008
NPI assigned
Mar 17, 2008
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 100204 FL
Internal Medicine Physician 207R00000X 018696 ME
Internal Medicine Physician 207R00000X 53878 CT Primary

Addresses

Primary practice location

11 Old Park Lane Rd
New Milford, CT 06776-2507

Mailing address

11 Old Park Lane Rd
New Milford, CT 06776-2507
Phone (860) 355-1149

Other identifiers 2

IdentifierTypeStateIssuer
53878OtherCTMEDICAL LICENSE
ME100204OtherFLMEDICAL LICIENSE

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
I20150602000512 CT Practitioner - Internal Medicine 8729148010 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Old Route 7
Brookfield, CT 06804-1711
Phone (203) 740-4455

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 100204FLMDInternal Medicine Physician
018696MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Aug 29, 2016 Accepting new patients
Prime Healthcare, PC Internal Medicine CurrentSince May 4, 2020 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince May 4, 2020 Accepting new patients
New Milford Medical Group, LLC Internal Medicine CurrentSince Aug 3, 2020 Accepting new patients
Albin Primary Care LLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients

Locations

31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911

31 Old Route 7
Ste 3
Brookfield, CT 06804

61 Pomeroy Ave
Meriden, CT 06450
Phone (203) 694-5340

11 Old Park Lane Rd
New Milford, CT 06776
Phone (860) 355-1149

50 Market Sq
Ste 4
Newington, CT 06111
Phone (860) 666-5424

462 Queen St
Ste 201
Southington, CT 06489
Phone (860) 621-1896

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1295906345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 OLD PARK LANE RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762507",
            "telephone_number": "860-355-1149",
            "fax_number": "860-210-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OLD PARK LANE RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762507",
            "telephone_number": "860-355-1149",
            "fax_number": "860-210-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBIN",
        "first_name": "DMITRY",
        "middle_name": "ANATOLYEVICH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 100204",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "018696",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "53878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "53878",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICIENSE",
            "identifier": "ME100204",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

Verify at the official NPI Registry.