Individual provider Active NPI

Angela M Arlen, M.D.

  • Pediatric Urology Physician
  • New Haven, CT
National Provider Identifier
1346457215
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
56048 Issued in CT
Practice address
20 York Street
Yale New Haven Hospital
New Haven, CT 06510
Phone
(203) 785-4755
Fax
(203) 785-4043
NPI assigned
May 17, 2007
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R7864 IA
Pediatric Urology Physician 2088P0231X 67530 GA
Pediatric Urology Physician 2088P0231X MD-41930 IA
Pediatric Urology Physician 2088P0231X 56048 CT Primary

Addresses

Primary practice location

20 York Street
Yale New Haven Hospital
New Haven, CT 06510

Mailing address

789 Howard Avenue FMP 302
Yale Medicine Department of Urology
New Haven, CT 06519
Phone (203) 785-4755

Other identifiers 1

IdentifierTypeStateIssuer
003131425AMedicaidGA

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
I20170321001915 CT Practitioner - Pediatric MedicinePractitioner - Urology 1658598800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Urology
Education
University of Iowa, RJ & L Carver College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

747 Belden Ave
Norwalk, CT 06850-3304
Phone (203) 750-1999

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7864IAMDUrology Physician
56048CTMDPediatric Urology Physician
67530GAMDPediatric Urology Physician
MD-41930IAMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Feb 6, 2017 Accepting new patients
Yale University CurrentSince Feb 6, 2017 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Apr 1, 2017 Accepting new patients

Locations

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

282 Washington St
Ste 2E
Hartford, CT 06106

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Interoperability endpoints

  • Direct secure messaging: aarlen363530@direct.ynhh.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1346457215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 HOWARD AVENUE FMP 302",
            "address_2": "YALE MEDICINE DEPARTMENT OF UROLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06519",
            "telephone_number": "203-785-4755",
            "fax_number": "203-785-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK STREET",
            "address_2": "YALE NEW HAVEN HOSPITAL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-785-4755",
            "fax_number": "203-785-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARLEN",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "R7864",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "GA",
            "license": "67530",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "IA",
            "license": "MD-41930",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CT",
            "license": "56048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003131425A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.