Sophia Elissa Altin, MD
Individual provider Active NPI Interventional Cardiology Physician · New Haven, CT
NPI 1619152154 · NPPES record last updated Aug 18, 2015
Key facts
- NPI
- 1619152154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 054055 (CT)
- Practice address
- 789 Howard Ave
333 Dana Building
New Haven, CT 06519-1304 - Phone
- (770) 312-6248
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Harvard Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yale University
Practice addresses (Care Compare)
1450 Chapel St B
New Haven, CT 06511-4405
Phone 20386754204405
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
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 |
|---|---|---|---|---|
| I20150710000790 | CT | Practitioner - Interventional Cardiology |
0143445221 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253065 | NY | MD | Internal Medicine Physician |
| 054055 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Internal Medicine | Current |
Accepting new patients |
| Northeast Medical Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Yale University | Current |
Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
300 George St
#6
New Haven, CT 06511
Phone (203) 737-6293
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
196 Parkway S
Ste 103
Waterford, CT 06385
Phone (860) 443-4383
Interoperability endpoints
- saltin318828@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 253065 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 054055 | CT | |
| Interventional Cardiology Physician | 207RI0011X | 054055 | CT | Yes |
Addresses
Primary practice location
789 Howard Ave
333 Dana Building
New Haven, CT 06519-1304
Mailing address
300 George St # 6
New Haven, CT 06511-6624
Phone (203) 785-6610
Other providers in New Haven, CT
- Chloe Altchek
- Jordan R Alter
- Ahmed M.a. Altibi
- Frederick Lewis Altice
- Henry Drakulich Altick
- Casey J Altomaro
- Victor Altshul
- Nadeen F Alturki
- Lavanya Srisai Aluri
- Angelica Alvarez Reyes
All providers in New Haven, CT · Interventional Cardiology 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 Aug 18, 2015. 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.