Amy Breakstone, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Southington, CT
NPI 1568565638 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1568565638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 030115 (CT)
- Practice address
- 1131 West St
BLDG 2
Southington, CT 06489-6006 - Phone
- (860) 276-6800
- Fax
- (860) 276-6801
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Stony Brook, School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians for Women'S Health, LLC
Practice addresses (Care Compare)
103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789
1131 W St
2 Central CT OB/GYN
Southington, CT 06489-6006
Phone (860) 276-6800
25 Newell Rd
E35 Central CT OBGYN
Bristol, CT 06010-5132
Phone (860) 276-6800
Hospital & facility affiliations
- Bristol Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.08 of 100
- Quality
- 85.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031216000752 | CT | Practitioner - Obstetrics/Gynecology | 6608773825 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030115 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians for Women'S Health LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
25 Newell Rd
Ste E35
Bristol, CT 06010
Phone (860) 276-6800
103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789
1131 West St
Ste 2
Southington, CT 06489
Phone (860) 276-6800
Interoperability endpoints
- amy.breakstone.1@10170.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 030115 | CT | Yes |
Addresses
Primary practice location
1131 West St
BLDG 2
Southington, CT 06489-6006
Mailing address
1131 West St
BLDG 2
Southington, CT 06489-6006
Phone (860) 276-6800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001301150 | Medicaid | CT |
Other providers in Southington, CT
- Pamela Boushie
- Bradley Memorial Hospital and Health Center
- Brave, LLC
- Katherine Bray
- Marie Elena Bray
- Michelle Elaine Brennan
- Sally A Brennan
- Josephine Brisenoruiz
- Brooke Corbett, LCSW
- Aisha Brown-Gauntlett
All providers in Southington, CT · Obstetrics & Gynecology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.