NPIMap

Individual provider Active NPI

Doron Amir, MD

  • Cardiovascular Disease Physician
  • Bridgeport, CT
National Provider Identifier
1366440026
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
033357 Issued in CT
Practice address
439 Mill Hill Ave
Bridgeport, CT 06610-2866
Phone
(203) 334-2100
Fax
(203) 333-5864
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 033357 CT
Cardiovascular Disease Physician 207RC0000X 033357 CT Primary

Addresses

Primary practice location

439 Mill Hill Ave
Bridgeport, CT 06610-2866

Mailing address

439 Mill Hill Ave
Bridgeport, CT 06610-2866
Phone (203) 334-2100

Other identifiers 1

IdentifierTypeStateIssuer
001333575MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104001187 CT Practitioner - Cardiovascular Disease (Cardiology) 8628262425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridgeport HospitalGroup PAC ID 2062312598, 134 clinicians
Advanced Cardiovascular Specialists PCGroup PAC ID 4880678846, 13 clinicians

Practice addresses (Care Compare)

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

439 Mill Hill Ave
Bridgeport, CT 06610-2866
Phone (203) 334-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
033357CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Specialists PC Cardiovascular Disease CurrentSince Oct 1, 1993 Accepting new patients
Bridgeport Hospital CurrentSince Jan 1, 2013 Accepting new patients
Bridgeport Hospital CurrentSince Jan 1, 2013 Accepting new patients
Mobile CV Imaging, LLC Cardiovascular Disease Past Accepting new patients

Locations

439 Mill Hill Ave
Bridgeport, CT 06610
Phone (203) 334-2100

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

52 Beach Rd
Ste 105
Fairfield, CT 06824
Phone (203) 334-5959

Interoperability endpoints

  • Direct secure messaging: damir5334@direct.ynhh.org
  • Direct secure messaging: doron.amir@xdr.hhchealthdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1366440026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MILL HILL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102866",
            "telephone_number": "203-334-2100",
            "fax_number": "203-333-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MILL HILL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102866",
            "telephone_number": "203-334-2100",
            "fax_number": "203-333-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIR",
        "first_name": "DORON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "033357",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "033357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001333575",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.