Individual provider Active NPI

Adam Benjamin Hittelman, M.D., PH.D.

  • Pediatric Urology Physician
  • New Haven, CT
National Provider Identifier
1396922670
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
A82288 Issued in CA
Practice address
330 Cedar Street, #208058
Department of Urology, Yale School of Medicine
New Haven, CT 06520-8058
Phone
(203) 785-2815
Fax
(203) 785-4043
NPI assigned
Jan 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A82288 CA
Pediatric Urology Physician 2088P0231X A82288 CA Primary

Addresses

Primary practice location

330 Cedar Street, #208058
Department of Urology, Yale School of Medicine
New Haven, CT 06520-8058

Mailing address

P.O. Box 208058
Department of Urology, Yale School of Medicine
New Haven, CT 06520-8058
Phone (203) 785-2815

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
I20081020000304 CT Practitioner - UrologyPractitioner - Pediatric Medicine 5991863961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Pediatric Medicine
Education
New York University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

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

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A82288CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Jul 3, 2018 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Nov 3, 2016 Accepting new patients
Yale University CurrentSince Jul 25, 2008 Accepting new patients
Yale University Current Accepting new patients
Greenwich Hospital CurrentSince Jul 3, 2018 Accepting new patients
Yale University CurrentSince Jul 25, 2008 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Nov 3, 2016 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

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

330 Cedar St
#208058
New Haven, CT 06510

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

Interoperability endpoints

  • Direct secure messaging: ahittelman3401@direct.ynhh.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1396922670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 208058",
            "address_2": "DEPARTMENT OF UROLOGY, YALE SCHOOL OF MEDICINE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208058",
            "telephone_number": "203-785-2815",
            "fax_number": "203-785-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CEDAR STREET, #208058",
            "address_2": "DEPARTMENT OF UROLOGY, YALE SCHOOL OF MEDICINE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208058",
            "telephone_number": "203-785-2815",
            "fax_number": "203-785-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITTELMAN",
        "first_name": "ADAM",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A82288",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "A82288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.