Individual provider Active NPI

Miriam M Harel, MD

  • Pediatric Urology Physician
  • Avon, CT
National Provider Identifier
1619156148
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
051212 Issued in CT
Practice address
100 Simsbury Rd
Avon, CT 06001-3793
Phone
(860) 409-0413
Fax
(860) 499-5418
NPI assigned
Nov 1, 2007
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Urology Physician 208800000X 051212 CT
Pediatric Urology Physician 2088P0231X 051212 CT Primary
Pediatric Urology Physician 2088P0231X 286705 NY

Addresses

Primary practice location

100 Simsbury Rd
Avon, CT 06001-3793

Mailing address

247 Route 100 Ste 1002
Somers, NY 10589-3231
Phone (914) 962-8290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20161025001573 NY Practitioner - Urology 3870712789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051212CTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Urology CurrentSince Feb 11, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Feb 11, 2022 Accepting new patients
Pediatric Urology Associates of New Jersey, PC Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mharel@montefioredirect.com

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1619156148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 ROUTE 100 STE 1002",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893231",
            "telephone_number": "914-962-8290",
            "fax_number": "914-962-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SIMSBURY RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013793",
            "telephone_number": "860-409-0413",
            "fax_number": "860-499-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAREL",
        "first_name": "MIRIAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "051212",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CT",
            "license": "051212",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "286705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.