Individual provider Active NPI

Ephraim P Bartfeld, MD

  • Pediatrics Physician
  • Watertown, CT
National Provider Identifier
1508872219
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
035903 Issued in CT
Practice address
380 Main St
Watertown, CT 06795-2260
Phone
(860) 274-8891
Fax
(860) 274-8895
NPI assigned
Aug 1, 2006
Last updated
Nov 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 035903 CT Primary
Pediatric Adolescent Medicine Physician 2080A0000X 035903 CT

Addresses

Primary practice location

380 Main St
Watertown, CT 06795-2260

Mailing address

380 Main St
Watertown, CT 06795-2260
Phone (860) 274-8891

Other identifiers 1

IdentifierTypeStateIssuer
001359034MedicaidCT

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
I20060418000229 CT Practitioner - Pediatric Medicine 6608885314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 Main St
Suite 1
Watertown, CT 06795-2260
Phone (860) 274-8891

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035903CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Town and Country Pediatrics and Family Medicine, P.C. Pediatrics CurrentSince Jan 2, 2010 Accepting new patients
Alliance Medical Group, Inc Pediatrics PastSince Jan 1, 2010 Accepting new patients
Alliance Medical Group of Greater Waterbury PC Pediatrics Past Accepting new patients

Locations

380 Main St
Watertown, CT 06795
Phone (860) 232-2740

380 Main St
Ste 1
Watertown, CT 06795
Phone (860) 274-8891

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDIBD

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1508872219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MAIN ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952260",
            "telephone_number": "860-274-8891",
            "fax_number": "860-274-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MAIN ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952260",
            "telephone_number": "860-274-8891",
            "fax_number": "860-274-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTFELD",
        "first_name": "EPHRAIM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "035903",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CT",
            "license": "035903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001359034",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

Verify at the official NPI Registry.