Alyssa Miceli, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

69652 Issued in CT

Practice address

25 Tamarack Ave
Danbury, CT 06811-4829

Phone

(203) 797-8990

NPI assigned

Jun 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Dermatology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermcare PCGroup PAC ID 8628043924, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Danbury Hospital Hospital, Danbury, CT, CCN 070033

Merit-based Incentive Payment System (MIPS)

Final score

95.15 of 100Reported as group

Quality

87.88

Improvement activities

40

Cost

100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amiceli@directaddress.net

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.

• Advanced Dermcare PC

  • Dermatology Physician
  • Danbury, CT
  • NPI 1023068087
  Medicare reassignment Care Compare group NPD
• Amber Dermatology, PLLC

  • Dermatology Physician
  • Trumbull, CT
  • NPI 1457219396
  Medicare reassignment NPD Authorized official
• Park Avenue Dermatology PA

  • Dermatology Physician
  • Orange Park, FL
  • NPI 1205871001
  NPD (past)
• Stephen I. Field, M.D., P.C.

  • Dermatology Physician
  • Saint Clair Shores, MI
  • NPI 1376761890
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
  • NPI 1003835935

  Hospital

  Care Compare affiliation
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  Care Compare affiliation

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1497136758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TAMARACK AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114829",
            "telephone_number": "203-797-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TAMARACK AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114829",
            "telephone_number": "203-797-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28333 Harper Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480811687",
            "country_code": "US",
            "telephone_number": "586-776-9770",
            "fax_number": "586-776-9772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734120",
            "country_code": "US",
            "telephone_number": "904-541-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICELI",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "69652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amiceli@mwcd.emadirect.md",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "direct email",
            "address_1": "43900 Garfield Rd Ste 100",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480381137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Scott Metzger, MD
• Betsy Meyer
• Robert Gregory Meyer, LCSW
• Katharine Marie Mezic, CRNA
• Asima Tabasum Mian, MD
• Michael Baroody, MD LLC
• Michael S. Johnson, PH.D., P.C.
• Lynn A Michaelson, LPCA
• Shannon Michelson
• Midwestern Connecticut Council of Alcoholism

• Dermatology Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.

Verify at the official NPI Registry.