Individual provider Active NPI

David Allen Feingold, MD

  • Pediatric Rehabilitation Medicine Physician
  • Bloomfield, CT
National Provider Identifier
1356346779
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
035179 Issued in CT
Practice address
701 Cottage Grove Rd
Ste F120
Bloomfield, CT 06002-3095
Phone
(860) 243-3434
Fax
(860) 243-0208
NPI assigned
Jun 14, 2005
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 035179 CT Primary

Addresses

Primary practice location

701 Cottage Grove Rd
Ste F120
Bloomfield, CT 06002-3095

Mailing address

35 Jolley Dr
Ste 101
Bloomfield, CT 06002-4228
Phone (860) 243-3434

Other identifiers 3

IdentifierTypeStateIssuer
010035179CT03OtherCTBCBS
001351791MedicaidCT
0187241OtherCTMASS. HEALTH

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
I20031113000336 CT Practitioner - Physical Medicine and Rehabilitation 6901710185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 Jolley Dr
Suite 101
Bloomfield, CT 06002-4228
Phone (860) 243-3434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035179CTMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine & Rehabilitation of Hartford LLC Pediatric Rehabilitation Medicine CurrentSince Feb 4, 2002 Accepting new patients

Locations

35 Jolley Dr
Ste 101
Bloomfield, CT 06002
Phone (860) 243-3434

701 Cottage Grove Rd
Ste F120
Bloomfield, CT 06002
Phone (860) 243-3315

Interoperability endpoints

  • Direct secure messaging: dfeingold185360@direct.ynhh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJGAA/Endpoint/BIJGAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1356346779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "STE 101",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024228",
            "telephone_number": "860-243-3434",
            "fax_number": "860-243-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD",
            "address_2": "STE F120",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023095",
            "telephone_number": "860-243-3434",
            "fax_number": "860-243-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINGOLD",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CT",
            "license": "035179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010035179CT03",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001351791",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS. HEALTH",
            "identifier": "0187241",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.