Tamara R Dildy, MD
Individual provider Active NPI Emergency Medicine Physician · Nantucket, MA
NPI 1306804000 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1306804000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 53853 (CT)
- Practice address
- 57 Prospect St
Nantucket, MA 02554-2799 - Phone
- (508) 825-1000
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 45
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Yale University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Medical Associates PC
Berkshire Medical Center Inc
Practice addresses (Care Compare)
33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6412
725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000
Hospital & facility affiliations
- North Adams Regional Hospital Corporation
- United Health Services Hospitals, Inc
- Berkshire Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NY, CT, MA
- 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 |
|---|---|---|---|---|
| I20050115000026 | NY | Practitioner - Emergency Medicine | 9931195088 | Reassigns benefits to 3 organizations |
| I20150629000024 | CT | Practitioner - Emergency Medicine | 9931195088 | Reassigns benefits to 11 organizations |
| I20240319002477 | MA | Practitioner - Emergency Medicine | 9931195088 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53853 | CT | MD | Emergency Medicine Physician |
| 217433 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midstate Medical Center | Current |
Accepting new patients | |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current |
Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current |
Accepting new patients | |
| Midstate Medical Center | Current | Accepting new patients | |
| The William W Backus Hospital | Current | Accepting new patients | |
| Norwalk Hospital Association | Current |
Accepting new patients | |
| United Medical Associates PC | Current |
Accepting new patients | |
| Bridgeport Hospital | Current |
Accepting new patients | |
| Nantucket Cottage Hospital | Current |
Accepting new patients | |
| North Adams Regional Hospital Corporation | Current |
Accepting new patients | |
| Berkshire Medical Center, Inc | Current |
Accepting new patients | |
| The Charlotte Hungerford Hospital | Emergency Medicine | Current |
Accepting new patients |
| Berkshire Medical Center Inc. | Current |
Accepting new patients | |
| The Charlotte Hungerford Hospital | Current |
Accepting new patients | |
| Emergency Medicine Physicians of Fairfield County, LLC | Emergency Medicine | Current |
Accepting new patients |
| Norwalk Hospital Association | Current |
Accepting new patients | |
| United Medical Associates, P.C. | Current |
Accepting new patients | |
| Nantucket Physicians Organization | Current |
Accepting new patients | |
| William W Backus Hospital | Current |
Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current |
Accepting new patients | |
| Corning Hospital | Emergency Medicine | Current |
Accepting new patients |
| Nantucket Cottage Hospital | Current |
Accepting new patients | |
| Corning Hospital | Current |
Accepting new patients | |
| Nems PLLC | Emergency Medicine | Current |
Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Midstate Medical Center | Current |
Accepting new patients | |
| The William W Backus Hospital | Current |
Accepting new patients | |
| Bridgeport Hospital | Current | Accepting new patients | |
| Emergency Medicine Physicians of New Haven County,LLC | Emergency Medicine | Current |
Accepting new patients |
| Bridgeport Hospital | Current |
Accepting new patients | |
| Wyckoff Emergency Medicine Services, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Arnot Medical Services PLLC | Emergency Medicine | Past | Accepting new patients |
| Jersey City Medical Center | Emergency Medicine | Past | Accepting new patients |
| Eastern Connecticut Medical Professionals Foundation, Inc | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Emergency Medicine | Past | Accepting new patients |
| LH Emergency Medical Services PC | Emergency Medicine | Past | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
374 Stockholm St
#137N
Brooklyn, NY 11237
Phone (718) 963-6485
1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
Interoperability endpoints
- tdildy172706@direct-guthrie.org
- tamara.kuittinen@xdr.hhchealthdirect.org
- tkuittinen368465@direct.ynhh.org
- tdildy531225@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 217433 | NY | |
| Emergency Medicine Physician | 207P00000X | 53853 | CT | Yes |
Addresses
Primary practice location
57 Prospect St
Nantucket, MA 02554-2799
Mailing address
24 Hospital Ave
Danbury, CT 06810-6099
Phone (037) 397-6082
Other practice location 1
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7608
Other practice location 2
540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666
Other practice location 3
100 E 77th St
New York, NY 10021-1850
Phone (212) 434-2650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02087910 | Medicaid | NY |
Other names
- Tamara Kuittinen
Other providers in Nantucket, MA
- Roy M Davis
- Suzanne M Davis
- DB Pharmacy Inc
- DB Pharmacy Inc
- Tessandra Noel De Alberdi Visco
- Lisa Anne Doran
- Dr. Suzanne Duncan MD LLC
- Taylor Dunn
- Dupont Physical Therapy PC
- Betty K Dupont
All providers in Nantucket, MA · Emergency Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. 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.