NPIMap

Individual provider Active NPI

Dmitry Volkin, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Waterford, CT
National Provider Identifier
1508203316
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
60386 Issued in CT
Practice address
5 Dayton Rd Ste 202
Waterford, CT 06385-4205
Phone
(860) 886-1956
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 60386 CT Primary
Urology Physician 208800000X 60386 CT

Addresses

Primary practice location

5 Dayton Rd Ste 202
Waterford, CT 06385-4205

Mailing address

5 Dayton Rd Ste 202
Waterford, CT 06385-4205
Phone (860) 886-1956

Other identifiers 1

IdentifierTypeStateIssuer
010060386CT01OtherCTANTHEM BLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180621001227 CT Practitioner - Urology 8921353640 Reassigns benefits to 1 organization
I20200618000783 CA Practitioner - Urology 8921353640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

330 Washington St
Suite 350
Norwich, CT 06360-2700
Phone (860) 889-4991

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Urology CurrentSince Dec 15, 2021 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2020 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 15, 2021 Accepting new patients
Northeast Medical Group, Inc. PastSince Jul 1, 2018 Accepting new patients
Hartford Healthcare Medical Group, Inc Urology PastSince Nov 9, 2021 Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

330 Washington St
Ste 350
Norwich, CT 06360
Phone (860) 886-1956

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

5 Dayton Rd
Ste 202
Waterford, CT 06385
Phone (860) 886-1956

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: dmitry.volkin@xdr.hhchealthdirect.org

Organizations & group practices 7

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 6

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1508203316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DAYTON RD STE 202",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854205",
            "telephone_number": "860-886-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DAYTON RD STE 202",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854205",
            "telephone_number": "860-886-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKIN",
        "first_name": "DMITRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CT",
            "license": "60386",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "60386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "010060386CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.