Zev Balsen, MD
Individual provider Active NPI Emergency Medicine Physician · Bridgeport, CT
NPI 1437546587 · NPPES record last updated Sep 19, 2019
Key facts
- NPI
- 1437546587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 60595 (CT)
- Practice address
- 267 Grant St
Bridgeport, CT 06610 - Phone
- (203) 384-4490
- NPI assigned
- Apr 15, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Yale University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bridgeport Hospital
Practice addresses (Care Compare)
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
Hospital & facility affiliations
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.02 of 100
- Quality
- 87.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.51
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190311001922 | CT | Practitioner - Emergency Medicine | 7315251949 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60595 | CT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Hospital | Current |
Accepting new patients | |
| Bridgeport Hospital | Current |
Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
Interoperability endpoints
- zbalsen115580@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 60595 | CT | Yes |
Addresses
Primary practice location
267 Grant St
Bridgeport, CT 06610
Mailing address
267 Grant St
Bridgeport, CT 06610-2870
Phone (203) 384-4490
Other practice location 1
464 Congress Ave Ste 260
YNHH, Department of Emergency Medicine
New Haven, CT 06519-1362
Phone (203) 785-5174
Other providers in Bridgeport, CT
- Shefkate Bakiu
- Jennifer L Baldieri
- Katherine Baldwin
- Candice Balfour
- Ibrahim Olabanji Balogun
- Tageldin Banaga
- Veeraiahchowdary Bandarupalli
- Casey Bang
- Vivian Bang
- Ryan Christopher Bango
All providers in Bridgeport, CT · Emergency Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.