Active NPI
Nikolaos Papoutsidakis, M.D, PHD
- Cardiovascular Disease Physician
- New Haven, CT
National Provider Identifier
1386171031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MSP-25
- Practice address
- 333 Cedar St
New Haven, CT 06510-3206 - Phone
- (203) 785-7191
- NPI assigned
- May 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MSP-25 | CT | Primary |
Addresses
Primary practice location
333 Cedar St
New Haven, CT 06510-3206
Mailing address
333 Cedar St
Yale Cardiology PO Box 208017
New Haven, CT 06510-3206
Phone (203) 785-7191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSP-25 | CT | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1386171031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"address_2": "YALE CARDIOLOGY PO BOX 208017",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-785-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-785-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPOUTSIDAKIS",
"first_name": "NIKOLAOS",
"name_prefix": "Dr.",
"credential": "M.D, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-12",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "MSP-25",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.