Michael Patrick Noonan, M.D.
Individual provider Active NPI Dermatology Physician · Trumbull, CT
NPI 1609892371 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609892371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 032208 (CT)
- Practice address
- 160 Hawley LN
Trumbull, CT 06611-5300 - Phone
- (203) 377-0639
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- New York University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adult and Pediatric Dermatology Specialists, P.C.
Practice addresses (Care Compare)
160 Hawley LN
Suite 104
Trumbull, CT 06611-5379
Phone (203) 377-0639
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.6 of 100
- Quality
- 31.19
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1907 |
| Removal or shaving of skin growth | 18 |
| Skin biopsy | 257 |
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 |
|---|---|---|---|---|
| I20100624000136 | CT | Practitioner - Dermatology | 2466513163 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032208 | CT | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult & Pediatric Dermatology Specialists, P.C. | Dermatology | Current |
Accepting new patients |
| Adult & Pediatric Dermatology Specialists, P.C. | Dermatology | Current |
Accepting new patients |
Locations
299 Seymour Ave
Derby, CT 06418
Phone (203) 377-0639
160 Hawley Ln
Ste 104
Trumbull, CT 06611
Phone (203) 377-0639
160 Hawley Ln
Trumbull, CT 06611
Phone (203) 375-3456
162 Kings Hwy N
Westport, CT 06880
Phone (203) 222-0198
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 032208 | CT | Yes |
Addresses
Primary practice location
160 Hawley LN
Trumbull, CT 06611-5300
Mailing address
160 Hawley LN
Trumbull, CT 06611-5300
Phone (203) 377-0639
Other providers in Trumbull, CT
- Betty Jeanne Nelson
- Nemg Gastroenterology LLC
- Nephrology Associates, PC
- New England Advanced Spine & Pain Center LLC
- Daria Marie Nola
- Kenneth Joseph Nori
- Northeast Hearing LLC
- Northeast Spine & Rehab., LLC
- Jessie Novoa
- Nutrition and Weight Management Center of Fairfield County, LLC
All providers in Trumbull, CT · Dermatology 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 Jul 8, 2007. 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.