Individual provider Active NPI

Estell Pappas, DPM

  • Podiatrist
  • Hamden, CT
National Provider Identifier
1376547992
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000713 Issued in CT
Practice address
3851 Whitney Ave
Hamden, CT 06518-1519
Phone
(203) 745-4002
Fax
(203) 624-6815
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000713 CT Primary

Addresses

Primary practice location

3851 Whitney Ave
Hamden, CT 06518-1519

Mailing address

3851 Whitney Ave
Hamden, CT 06518-1519
Phone (203) 745-4002

Other identifiers 2

IdentifierTypeStateIssuer
480001019OtherCTHSR MEDICARE PIN
004198067MedicaidCT

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070515000484 CT Practitioner - Podiatry 0749176402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3851 Whitney Ave
Hamden, CT 06518-1519
Phone (203) 745-4002

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84
Removal of skin lesions73
Removal of nail tissue723
Removal or shaving of skin growth638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
713CTMDPsychologist
000713CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sedona Foot & Ankle Specialists P C Podiatrist Current Accepting new patients
New Haven Foot and Ankle Group,Inc Podiatrist CurrentSince May 1, 2017 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients

Locations

136 Sherman Ave
Ste 202
New Haven, CT 06511
Phone (203) 624-9991

Interoperability endpoints

  • Direct secure messaging: epappas4195@direct.ynhh.org
  • Direct secure messaging: estell.pappas@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 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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1376547992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181519",
            "telephone_number": "203-745-4002",
            "fax_number": "203-553-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181519",
            "telephone_number": "203-745-4002",
            "fax_number": "203-624-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "ESTELL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSR MEDICARE PIN",
            "identifier": "480001019",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004198067",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.