Individual provider Active NPI

Frederick B. Slogoff, M.D.

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1457463002
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038474 Issued in CT
Practice address
5 High Ridge Park
Suite 104
Stamford, CT 06905-1332
Phone
(203) 968-9500
Fax
(203) 968-9501
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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 038474 CT Primary

Addresses

Primary practice location

5 High Ridge Park
Suite 104
Stamford, CT 06905-1332

Mailing address

5 High Ridge Park
Suite 104
Stamford, CT 06905-1332
Phone (203) 968-9500

Other identifiers 1

IdentifierTypeStateIssuer
001384742MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2013 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038474CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Medical LLP Internal Medicine Past Accepting new patients
Stamford Health Medical Group Inc Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1457463002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HIGH RIDGE PARK",
            "address_2": "SUITE 104",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051332",
            "telephone_number": "203-968-9500",
            "fax_number": "203-968-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HIGH RIDGE PARK",
            "address_2": "SUITE 104",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051332",
            "telephone_number": "203-968-9500",
            "fax_number": "203-968-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOGOFF",
        "first_name": "FREDERICK",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001384742",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.