Individual provider Active NPI

Bryan Dorf, D.O.

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1407921067
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
000487 Issued in CT
Practice address
1450 Washington Blvd
Stamford, CT 06902-2451
Phone
(203) 327-9321
Fax
(203) 406-1744
NPI assigned
Nov 21, 2006
Last updated
Jan 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000487 CT Primary

Addresses

Primary practice location

1450 Washington Blvd
Stamford, CT 06902-2451

Mailing address

1450 Washington Blvd
Stamford, CT 06902-2451
Phone (201) 332-7932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111215000195 CT Practitioner - Internal Medicine 8022283431 Reassigns benefits to 1 organization
I20160202001204 NY Practitioner - Internal Medicine 8022283431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Health Medical PCGroup PAC ID 7315221751, 87 clinicians

Practice addresses (Care Compare)

91 Smith Ave
Mount Kisco, NY 10549-2810
Phone (914) 241-9030

945 Summer St
FL 3
Stamford, CT 06905-5519
Phone (203) 327-9321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000487CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

945 Summer St
Fl 3
Stamford, CT 06905
Phone (203) 327-9321

300 Community Dr
Manhasset, NY 11030

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bdorf66715@northwell.direct-ci.com
  • Direct secure messaging: bryan.dorf@direct.westchesterhealth.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1407921067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022451",
            "telephone_number": "201-332-7932",
            "fax_number": "203-406-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022451",
            "telephone_number": "203-327-9321",
            "fax_number": "203-406-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORF",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "000487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.