Individual provider Active NPI

Mark D Litchman, MD

  • Allergy & Immunology Physician
  • Norwalk, CT
National Provider Identifier
1447341243
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
027828 Issued in CT
Practice address
148 East Avenue
Suite 3G
Norwalk, CT 06851
Phone
(203) 838-4034
Fax
(203) 853-6361
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 027828 CT Primary

Addresses

Primary practice location

148 East Avenue
Suite 3G
Norwalk, CT 06851

Mailing address

148 East Avenue
Suite 3G
Norwalk, CT 06851
Phone (203) 838-4034

Other identifiers 1

IdentifierTypeStateIssuer
001278284MedicaidCT

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
I20040304000259 CT Practitioner - Allergy/Immunology 4082501721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Rush Medical College of Rush University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 /2 Dearfield Dr
Greenwich, CT 06831-5335
Phone (203) 869-2080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.74 of 100Reported as group
Quality
64.67
Promoting interoperability
99
Improvement activities
40
Cost
71.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027828CTMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield County Allergy Asthma & Immunology Associates PC Allergy & Immunology CurrentSince Jun 30, 1998 Accepting new patients
Thrive Counseling LLC PastSince Feb 1, 2020 Accepting new patients

Locations

148 East Ave
Ste 3G
Norwalk, CT 06851
Phone (203) 838-4034

80 Mill River St
Ste 2100
Stamford, CT 06902
Phone (203) 357-1511

80 Mill River St
Stamford, CT 06902
Phone (203) 327-1080

Interoperability endpoints

  • Direct secure messaging: mlitchman6722@direct.ynhh.org

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 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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1447341243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVENUE",
            "address_2": "SUITE 3G",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-838-4034",
            "fax_number": "203-853-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVENUE",
            "address_2": "SUITE 3G",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-838-4034",
            "fax_number": "203-853-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITCHMAN",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "027828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001278284",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.