Individual provider Active NPI

Matthew D Paul, M.D.

  • Ophthalmology Physician
  • Danbury, CT
National Provider Identifier
1417955865
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
025616 Issued in CT
Practice address
69 Sand Pit Rd
Suite101
Danbury, CT 06810-4004
Phone
(203) 791-2020
Fax
(203) 778-6238
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 025616 CT Primary

Addresses

Primary practice location

69 Sand Pit Rd
Suite101
Danbury, CT 06810-4004

Mailing address

69 Sand Pit Rd
Suite101
Danbury, CT 06810-4004
Phone (203) 791-2020

Other identifiers 1

IdentifierTypeStateIssuer
001256163MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpaul@danburyeye.com Health Information Exchange (HIE)

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
I20100901000607 CT Practitioner - Ophthalmology 7113050923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Eye Consultants PCGroup PAC ID 2668431792, 16 clinicians

Practice addresses (Care Compare)

69 Sand Pit Rd
Suite 101
Danbury, CT 06810-4004
Phone (203) 791-2020

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025616CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Eye Consultants, PC Ophthalmology CurrentSince Jun 13, 1989 Accepting new patients
Connecticut Eye Consultants, PC Ophthalmology CurrentSince Jun 13, 1989 Accepting new patients

Locations

69 Sand Pit Rd
Ste 101
Danbury, CT 06810
Phone (203) 791-2020

120 Park Lane Rd
Ste B203
New Milford, CT 06776
Phone (203) 791-2020

Interoperability endpoints

  • Direct secure messaging: matthew.paul.p1@direct.danburyeye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 2

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1417955865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "SUITE101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-791-2020",
            "fax_number": "203-778-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "SUITE101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-791-2020",
            "fax_number": "203-778-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "025616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001256163",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpaul@danburyeye.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "69 Sand Pit Rd",
            "address_2": "Suite101",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068104004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.