NPIMap

Individual provider Active NPI

David Duvall Thompson, MD

  • Internal Medicine Physician
  • Niantic, CT
National Provider Identifier
1477546455
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20184 Issued in CT
Practice address
22 W Main St
Niantic, CT 06357-2340
Phone
(860) 739-4431
Fax
(860) 739-9461
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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 20184 CT Primary

Addresses

Primary practice location

22 W Main St
Niantic, CT 06357-2340

Mailing address

22 W Main St
Niantic, CT 06357-2340
Phone (860) 739-4431

Other identifiers 3

IdentifierTypeStateIssuer
030016OtherCTHEALTHNET
1201847MedicaidCT
010020184CT01OtherCTBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000292 CT Practitioner - Internal Medicine 9436242229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David D Thompson Jr and Robert a Linden PTRGroup PAC ID 8022101153, 5 clinicians

Practice addresses (Care Compare)

22 W Main St
Niantic, CT 06357-2399
Phone (860) 739-4431

Hospital & facility affiliations

  • Yale New Haven Health - Health at Home Southeast Home health agency, Waterford, CT, CCN 077015
  • Masters in Home Care, LLC Home health agency, Rocky Hill, CT, CCN 077264
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bride Brook Rehabilitation & Nursing Center Nursing home, Niantic, CT, CCN 075375

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David D Thompson Jr & Robert a Linden PTR Internal Medicine CurrentSince Oct 10, 1986 Accepting new patients

Locations

22 W Main St
Niantic, CT 06357
Phone (860) 739-4431

Interoperability endpoints

  • Direct secure messaging: david.thompson@1055544999084036.direct.elationemr.com

Organizations & group practices 1

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 7

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1477546455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W MAIN ST",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572340",
            "telephone_number": "860-739-4431",
            "fax_number": "860-739-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W MAIN ST",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572340",
            "telephone_number": "860-739-4431",
            "fax_number": "860-739-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DAVID",
        "middle_name": "DUVALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "20184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "030016",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201847",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "010020184CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

Verify at the official NPI Registry.