Individual provider Active NPI

Richard Mark Slutsky, M.D.

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1497761282
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
028482 Issued in CT
Practice address
292 Long Ridge Rd
Suite 101
Stamford, CT 06902-1627
Phone
(203) 323-4458
Fax
(203) 352-4663
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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 028482 CT Primary

Addresses

Primary practice location

292 Long Ridge Rd
Suite 101
Stamford, CT 06902-1627

Mailing address

292 Long Ridge Rd
Suite 101
Stamford, CT 06902-1627
Phone (203) 323-4458

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
I20050603000778 CT Practitioner - Internal Medicine 0547203283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wake Forest University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

292 Long Ridge Rd
Stamford, CT 06902-1627

5 High Ridge Park
Suite 103
Stamford, CT 06905-1326
Phone (203) 276-4644

Hospital & facility affiliations

  • Sterling Care LLC Home health agency, Greenwich, CT, CCN 077252
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Villa at Stamford, the Nursing home, Stamford, CT, CCN 075153

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028482CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients

Locations

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

292 Long Ridge Rd
Ste 101
Stamford, CT 06902
Phone (203) 276-7213

166 W Broad St
Ste 305
Stamford, CT 06902
Phone (203) 358-0020

1100 Bedford St
Stamford, CT 06905
Phone (203) 323-4458

Interoperability endpoints

  • Direct secure messaging: rslutsky19781@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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 4

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1497761282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD",
            "address_2": "SUITE 101",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627",
            "telephone_number": "203-323-4458",
            "fax_number": "203-352-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD",
            "address_2": "SUITE 101",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627",
            "telephone_number": "203-323-4458",
            "fax_number": "203-352-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUTSKY",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "028482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.