Active NPI
Marianne Vahey, M.D.
- Internal Medicine Physician
- West Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 030088
- Practice address
- 687 Campbell Ave
West Haven, CT 06516-3774 - Phone
- (203) 932-7481
- Fax
- (203) 932-4051
- NPI assigned
- Jun 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 030088 | CT | Primary |
Addresses
Primary practice location
687 Campbell Ave
West Haven, CT 06516-3774
Mailing address
687 Campbell Ave
West Haven, CT 06516-3774
Phone (203) 932-6481
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001300889 | Medicaid | CT | |
| 010030088CT07 | Other | CT | ANTHEM BLUE SHIELD |
| 008803 | Other | CT | CONNECTICARE |
| 2V5205 | Other | CT | HEALTHNET |
| 4126016 | Other | CT | AETNA |
| P3362191 | Other | CT | OXFORD |
| P00141373 | Other | CT | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030088 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Northeast Medical Group Inc | Current | Accepting new patients | |
| Saint Raphael Faculty Physicians | Internal Medicine | Past | Accepting new patients |
Locations
322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228
226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394
1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
240 Indian River Rd
Ste A5
Orange, CT 06477
Phone (203) 799-1252
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Organizations & group practices 3
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.
-
- Internal Medicine Physician
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- NPI 1043278351
-
- Radiation Oncology Physician
- Greenwich, CT
- NPI 1821390626
-
- Internal Medicine Physician
- New Haven, CT
- NPI 1932138138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1467458075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163774",
"telephone_number": "203-932-6481",
"fax_number": "203-932-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163774",
"telephone_number": "203-932-7481",
"fax_number": "203-932-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHEY",
"first_name": "MARIANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "030088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001300889",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "010030088CT07",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "008803",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V5205",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4126016",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3362191",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00141373",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.