Individual provider Active NPI

Ralph Wayne Denatale, M.D.

  • Vascular Surgery Physician
  • North Haven, CT
National Provider Identifier
1497790026
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
027199 Issued in CT
Practice address
280 State St
North Haven, CT 06473-2132
Phone
(203) 288-2886
Fax
(203) 288-2576
NPI assigned
Jun 18, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 027199 CT Primary
General Practice Physician 208D00000X 027199 CT

Addresses

Primary practice location

280 State St
North Haven, CT 06473-2132

Mailing address

280 State St
North Haven, CT 06473-2132
Phone (203) 288-2886

Other identifiers 1

IdentifierTypeStateIssuer
001271998MedicaidCT

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
I20070424000664 CT Practitioner - Vascular Surgery 5890751184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Vascular Center PCGroup PAC ID 7810953106, 5 clinicians

Practice addresses (Care Compare)

280 State St
Suite 1
North Haven, CT 06473-6103
Phone (203) 288-2886

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion12
Varicose vein removal32
Leg revascularization (restoring blood flow)1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027199CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Vascular Surgery CurrentSince Mar 17, 2020 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Dec 10, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 17, 2020 Accepting new patients
Connecticut Vascular Center P.C. Vascular Surgery CurrentSince Jan 21, 1991 Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

Locations

6 Business Park Dr
Ste 203
Branford, CT 06405
Phone (203) 288-2886

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

40 Temple St
Ste 7I
New Haven, CT 06510
Phone (203) 789-2200

280 State St
North Haven, CT 06473
Phone (203) 288-2886

280 State St
Ste 1
North Haven, CT 06473
Phone (203) 288-2886

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

863 N Main Street Ext
Ste 101
Wallingford, CT 06492
Phone (203) 269-3791

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIJABD
  • Direct secure messaging: ralph.denatale@ctvc.eclinicaldirectplus.com
  • Direct secure messaging: ralph.denatale@xdr.hhchealthdirect.org
  • Direct secure messaging: rdenatale@direct.wtbyhosp.org
  • Direct secure messaging: rdenatale2910@direct.ynhh.org
  • Direct secure messaging: rdenatale36967@stamfordhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1497790026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732132",
            "telephone_number": "203-288-2886",
            "fax_number": "203-288-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732132",
            "telephone_number": "203-288-2886",
            "fax_number": "203-288-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENATALE",
        "first_name": "RALPH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "027199",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "027199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001271998",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.