Active NPI
Beth Ann Ditkoff, MD
- Surgery Physician
- Stamford, CT
National Provider Identifier
1316964976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 042643
- Practice address
- 32 Strawberry Hill CT
Suite 8
Stamford, CT 06902-2594 - Phone
- (203) 276-4255
- Fax
- (203) 276-4259
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 042643 | CT | Primary |
Addresses
Primary practice location
32 Strawberry Hill CT
Suite 8
Stamford, CT 06902-2594
Mailing address
32 Strawberry Hill CT
Suite 8
Stamford, CT 06902-2594
Phone (203) 276-4255
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TIN | Other | CT | NEHCA HMC/PPO |
| TIN | Other | CT | CHN SOLUTIONS |
| TIN | Other | CT | NORTHEAST HEALTH DIRECT |
| TIN | Other | CT | UNITED |
| TIN | Other | CT | PRIVATE HEALTHCARE SYSTEM |
| TIN | Other | CT | FIRST HEALTH |
| 0803905 | Other | CT | CIGNA |
| 2V5578 | Other | CT | HEALTH NET |
| 426430 | Other | CT | CONNECTICARE |
| 3630H1 | Other | CT | EMPIRE BC/BS |
| TIN | Other | CT | PIONEER |
| P421476 | Other | CT | OXFORD HEALTH PLANS |
| P00206735 | Other | CT | RAILROAD MEDICARE |
| 3632337 | Other | CT | AETNA |
| TIN | Other | CT | FOCUS |
| TIN | Other | CT | CREAT WEST |
| TIN | Other | CT | ANTHEM BC/BS |
| TIN | Other | CT | POMCO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042643 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Health Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABCIBA
Organizations & group practices 1
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.
-
- General Practice Physician
- Stamford, CT
- NPI 1154633980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1316964976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 STRAWBERRY HILL CT",
"address_2": "SUITE 8",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022594",
"telephone_number": "203-276-4255",
"fax_number": "203-276-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 STRAWBERRY HILL CT",
"address_2": "SUITE 8",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022594",
"telephone_number": "203-276-4255",
"fax_number": "203-276-4259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITKOFF",
"first_name": "BETH",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "042643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEHCA HMC/PPO",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHN SOLUTIONS",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0803905",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2V5578",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "426430",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "3630H1",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIONEER",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P421476",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00206735",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3632337",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOCUS",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CREAT WEST",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "TIN",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.