Individual provider Active NPI

David Kloth, MD

  • Specialist
  • Danbury, CT
National Provider Identifier
1336137058
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
031511 Issued in CT
Practice address
2 Riverview Dr
Danbury, CT 06810-6268
Phone
(203) 792-7246
Fax
(203) 792-9636
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 031511 CT Primary

Addresses

Primary practice location

2 Riverview Dr
Danbury, CT 06810-6268

Mailing address

2 Riverview Dr
Danbury, CT 06810-6268
Phone (203) 797-1500

Other practice location 1

761 Main Ave Ste 115
Norwalk, CT 06851-1080
Phone (203) 792-7246

Other identifiers 1

IdentifierTypeStateIssuer
D400414244OtherMEDICARE

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
I20120208000886 CT Practitioner - Pain Management 4082602651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthoconnecticut PLLCGroup PAC ID 1850369018, 82 clinicians
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians

Practice addresses (Care Compare)

131 Kent Rd
New Milford, CT 06776-3485
Phone (860) 355-8000

2 Riverview Dr
Danbury, CT 06810-4211

2 Riverview Dr
Danbury, CT 06810-6268

222 Post Rd
Suite E
Fairfield, CT 06824-6245
Phone (203) 255-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.11 of 100Reported as individual
Quality
42.93
Improvement activities
40
Cost
88.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031511CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoconnecticut, PLLC CurrentSince Aug 1, 2017 Accepting new patients
Orthoconnecticut, PLLC CurrentSince Aug 1, 2017 Accepting new patients
Carlson Therapy Network, PC Past Accepting new patients
Orthoconnecticut, PLLC Past Accepting new patients
Connecticut Pain Care, P.C. Specialist Past Accepting new patients

Locations

2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702

131 Kent Rd
New Milford, CT 06776
Phone (860) 350-3330

761 Main Ave
Ste 115
Norwalk, CT 06851
Phone (203) 545-2200

45 Danbury Rd
Ste 100
Wilton, CT 06897

Interoperability endpoints

  • Direct secure messaging: dkloth@doa1744.srs-direct.com

Organizations & group practices 6

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1336137058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIVERVIEW DR",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106268",
            "telephone_number": "203-797-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RIVERVIEW DR",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106268",
            "telephone_number": "203-792-7246",
            "fax_number": "203-792-9636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 Main Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068511080",
            "country_code": "US",
            "telephone_number": "203-792-7246",
            "fax_number": "203-792-9636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOTH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "031511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D400414244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.