Individual provider Active NPI

Matthew Dombrow, MD

  • Ophthalmology Physician
  • Hamden, CT
National Provider Identifier
1376798967
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
048596 Issued in CT
Practice address
2440 Whitney Ave
Suite 103
Hamden, CT 06518-3222
Phone
(203) 248-8080
NPI assigned
Nov 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 048596 CT Primary

Addresses

Primary practice location

2440 Whitney Ave
Suite 103
Hamden, CT 06518-3222

Mailing address

2440 Whitney Ave
Suite 103
Hamden, CT 06518-3222
Phone (203) 248-8080

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
I20100830000367 CT Practitioner - Ophthalmology 7113041005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Retina Consultants LLCGroup PAC ID 2769573765, 7 clinicians

Practice addresses (Care Compare)

2440 Whitney Ave
Hamden, CT 06518-3222
Phone (203) 248-8080

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048596CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Retina Consultants LLC Ophthalmology CurrentSince Jul 23, 2012 Accepting new patients
Mendelsohn Medical LLC PastSince Jul 23, 2012 Accepting new patients

Locations

2440 Whitney Ave
Ste 103
Hamden, CT 06518
Phone (203) 248-8080

46 Prince St
Ste 203
New Haven, CT 06519
Phone (203) 365-6565

Interoperability endpoints

  • Direct secure messaging: mdombrow2965@direct.ynhh.org

Organizations & group practices 2

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 1

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1376798967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 WHITNEY AVE",
            "address_2": "SUITE 103",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183222",
            "telephone_number": "203-248-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WHITNEY AVE",
            "address_2": "SUITE 103",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183222",
            "telephone_number": "203-248-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROW",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "048596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.