Active NPI
Julianne Yantachka Icatar, MD
- Obstetrics & Gynecology Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 039643
- Practice address
- 89 Hart St
Bridgeport, CT 06606-5048 - Phone
- (203) 579-2229
- NPI assigned
- Oct 16, 2006
- Last updated
- Dec 4, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 039643 | CT | Primary |
Addresses
Primary practice location
89 Hart St
Bridgeport, CT 06606-5048
Mailing address
15 Prowitt St
Norwalk, CT 06855-1203
Phone (203) 299-0792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001396432 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Vermont College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789
2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-6201
46 Albion St
Bridgeport, CT 06605-2602
Phone (203) 332-3505
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.08 of 100
- Quality
- 85.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039643 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Current | Accepting new patients | |
| South-West Community Health Center, Inc | Current | Accepting new patients | |
| Physicians for Women's Health LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461
46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155
510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000
762 Lindley St
Bridgeport, CT 06606
Phone (203) 576-5131
89 Hart St
Bridgeport, CT 06606
Phone (203) 579-2229
103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
2 Trap Falls Rd
Ste 510
Shelton, CT 06484
Phone (203) 944-0242
Interoperability endpoints
- jicatar577566@direct.ochin.org
- julianne.icatar.1@10170.direct.athenahealth.com
- julianney.icatar@xdr.hhchealthdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Rocky Hill, CT
- NPI 1801826680
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bridgeport, CT
- NPI 1699703686
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1942224696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1326128422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PROWITT ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068551203",
"telephone_number": "203-299-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 HART ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065048",
"telephone_number": "203-579-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICATAR",
"first_name": "JULIANNE",
"middle_name": "YANTACHKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "039643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001396432",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.