Individual provider Active NPI

Paul Himelfarb, M.D.

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1417039041
Registry record updated Dec 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
44020 Issued in CT
Practice address
20 York St FL 2
New Haven, CT 06510-3220
Phone
(203) 688-2433
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 162742 NY
Diagnostic Radiology Physician 2085R0202X 44020 CT Primary

Addresses

Primary practice location

20 York St FL 2
New Haven, CT 06510-3220

Mailing address

13 Top of the RDG
Mamaroneck, NY 10543-1734

Other identifiers 2

IdentifierTypeStateIssuer
1417039041MedicaidNY
1417039041OtherNYOTHER

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
I20140804001521 CT Practitioner - Diagnostic Radiology 2860443991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 1984
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)

111 Goose LN
Guilford, CT 06437-5101
Phone (203) 747-7300

1450 Chapel St B
New Haven, CT 06511-4405
Phone 20386754204405

150 Sargent Dr
New Haven, CT 06511-6100
Phone (203) 785-2671

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

2560 Dixwell Ave
Hamden, CT 06514-1851
Phone (203) 288-0003

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 876-4000

5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 785-4081

6 Devine St
North Haven, CT 06473-2195
Phone (203) 287-6100

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

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Dec 1, 2018 Accepting new patients
Yale University Diagnostic Radiology CurrentSince Dec 1, 2018 Accepting new patients
DRS. Beranbaum, Khilnani, Neistadt, Jacobs, Hertz & Sherman, LLP Diagnostic Radiology Past Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Past Accepting new patients
NPI 1003803784 Diagnostic Radiology Past Accepting new patients
Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C. Past Accepting new patients
113TH Street Medical Group, PC Diagnostic Radiology Past Accepting new patients

Locations

20 York St
Fl 2
New Haven, CT 06510
Phone (203) 688-2433

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

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

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

Organizations & group practices 6

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 5

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1417039041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 TOP OF THE RDG",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST FL 2",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMELFARB",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "162742",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "44020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417039041",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1417039041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.