Individual provider Active NPI

Stephanie Schmidt, MD

  • Sports Medicine (Family Medicine) Physician
  • Middletown, CT
National Provider Identifier
1366854499
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
61755 Issued in CT
Practice address
410 Saybrook Rd Ste 100
Middletown, CT 06457
Phone
(860) 685-8940
NPI assigned
May 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 61755 CT Primary
Family Medicine Physician 207Q00000X 61755 CT

Addresses

Primary practice location

410 Saybrook Rd Ste 100
Middletown, CT 06457

Mailing address

410 Saybrook Rd Ste 100
Middletown, CT 06457-4780

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
I20181106001809 CT Practitioner - Sports MedicinePractitioner - Family Practice 4981909884 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
New York Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

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
61755CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc Family Medicine CurrentSince Jul 20, 2020 Accepting new patients
Yale University CurrentSince Aug 15, 2024 Accepting new patients
Yale University CurrentSince Aug 15, 2024 Accepting new patients
MHS Primary Care Inc Family Medicine CurrentSince May 6, 2022 Accepting new patients
MHS Primary Care, Inc Family Medicine CurrentSince Jul 20, 2020 Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Jul 20, 2020 Accepting new patients
Middlesex Orthopedic Surgeons PC CurrentSince Sep 1, 2018 Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Jul 20, 2020 Accepting new patients

Locations

6 Main St
Durham, CT 06422
Phone (860) 349-1058

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

896 Washington St
Middletown, CT 06457
Phone (860) 788-3632

410 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 685-8951

430 Saybrook Rd
Middletown, CT 06457
Phone (860) 638-3820

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

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

154 Main St
Old Saybrook, CT 06475
Phone (860) 395-1212

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

Interoperability endpoints

  • Direct secure messaging: sschmidt602650@direct.ynhh.org

Organizations & group practices 8

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": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1366854499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-685-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CT",
            "license": "61755",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "61755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.