Shanique Bingham, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1056 Issued in CT

Practice address

428 Columbus Avenue
Podiatry
New Haven, CT 06519-1233

Phone

(203) 503-3070

Fax

(203) 503-3107

NPI assigned

Jun 25, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Waterbury Hospital Hospital, Waterbury, CT, CCN 070005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.hfsc.org/R4/open-Prod
• Direct secure messaging: sbingham192871@direct.ynhh.org

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.

• Evolve Foot and Woundcare

  • Podiatrist
  • Danbury, CT
  • NPI 1679290324
  Medicare reassignment NPD Authorized official
• Cornell Scott Hill Health Corporation

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1902921380
  Medicare reassignment NPD
• Hospital for Special Care

  • Long Term Care Hospital
  • New Britain, CT
  • NPI 1477534089
  Medicare reassignment NPD
• Phase Two Podiatry PC

  • Podiatrist
  • Hewlett, NY
  • NPI 1821333063
  Medicare reassignment NPD
• Podiatry Company LLC

  • Podiatrist
  • Cambridge, MD
  • NPI 1457931610

  CT

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1376925370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HOSPITAL AVE STE 301",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105954",
            "telephone_number": "203-826-9767",
            "fax_number": "203-826-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 COLUMBUS AVENUE",
            "address_2": "PODIATRY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191233",
            "telephone_number": "203-503-3070",
            "fax_number": "203-503-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "SHANIQUE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "0074725",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syed Usman Bin Mahmood
• Ranjit S Bindra, M.D., PH.D.
• John Christopher Binford, M.D.
• Elizabeth Bingham, D.M.D.
• Natalie Dawn Bingham, M.D.
• Linda Binkowski
• Thomas Chad Binns
• Sarah Shireen Binti Rahman Gul, MD
• Biometrics Inc
• Lisa Bioty, LCSW

• Podiatrist in New Haven, CT
• Providers in New Haven, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.