Individual provider Active NPI

David Herbert Herr, M.D.

  • Emergency Medicine Physician
  • Stafford, CT
National Provider Identifier
1477639359
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
032283 Issued in CT
Practice address
201 Chestnut Hill Road
Johnson Memorial Hospital
Stafford, CT 06076
Phone
(860) 684-8111
NPI assigned
Oct 31, 2006
Last updated
Mar 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 032283 CT Primary

Addresses

Primary practice location

201 Chestnut Hill Road
Johnson Memorial Hospital
Stafford, CT 06076

Mailing address

PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000

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
I20100317000668 CT Practitioner - Emergency Medicine 4789719683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
71.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032283CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nems PLLC Emergency Medicine CurrentSince Mar 15, 2020 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Northeast Emergency Medicine Specialists, LLC Emergency Medicine CurrentSince Apr 1, 2011 Accepting new patients
Johnson Professional Associates, PC Emergency Medicine Past Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: david.herr@xdr.hhchealthdirect.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1477639359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560789",
            "telephone_number": "413-509-1000",
            "fax_number": "413-509-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHESTNUT HILL ROAD",
            "address_2": "JOHNSON MEMORIAL HOSPITAL",
            "city": "STAFFORD",
            "state": "CT",
            "postal_code": "06076",
            "telephone_number": "860-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "DAVID",
        "middle_name": "HERBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "032283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.