Individual provider Active NPI

James E Seely, MD

  • Family Medicine Physician
  • New Haven, CT
National Provider Identifier
1629065008
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040594 Issued in CT
Practice address
374 Grand Ave
New Haven, CT 06513
Phone
(203) 777-7411
Fax
(203) 777-8506
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 040594 CT Primary

Addresses

Primary practice location

374 Grand Ave
New Haven, CT 06513

Mailing address

374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-7411

Other practice location 1

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4748

Other practice location 2

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4748

Other practice location 3

50 Grand Ave
New Haven, CT 06513-3949
Phone (203) 777-7411

Other practice location 4

370 Hemingway Ave
East Haven, CT 06512-3240
Phone (203) 777-7411

Other identifiers 1

IdentifierTypeStateIssuer
001405944MedicaidCT

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
I20060309000719 CT Practitioner - Family Practice 7618984055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 James St
New Haven, CT 06513-4222
Phone (203) 777-7411

164 Grand Ave
New Haven, CT 06513-3938
Phone (203) 777-7411

293 Clinton Ave
New Haven, CT 06513-2814
Phone (203) 777-7411

339 Eastern St
BLDG B
New Haven, CT 06513-2463
Phone (203) 777-7411

35 Wheelbarrow LN
East Haven, CT 06513-2003
Phone (203) 777-7411

374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-7411

374 Grand Ave
New Haven, CT 06513-3787

50 Grand Ave
New Haven, CT 06513-3949
Phone (203) 777-7411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040594CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Haven Community Health Clinic, Inc CurrentSince Sep 30, 2018 Accepting new patients
Fair Haven Community Health Clinic Inc CurrentSince Sep 30, 2018 Accepting new patients
Midstate Medical Center CurrentSince Oct 28, 2014 Accepting new patients
Midstate Medical Center CurrentSince Oct 28, 2014 Accepting new patients
Sunrise Family Medicine LLC PastSince Sep 21, 2006 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients
Meriden Imaging Center, Inc. Past Accepting new patients
Midstate Medical Group, PC Past Accepting new patients

Locations

221 W Main St
Branford, CT 06405
Phone (203) 871-4188

370 Hemingway Ave
East Haven, CT 06512
Phone (203) 468-1113

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

374 Grand Ave
New Haven, CT 06513
Phone (203) 752-5203

330 Boston Post Rd
Orange, CT 06477
Phone (203) 795-4784

Interoperability endpoints

  • Direct secure messaging: jseely4552@direct.ynhh.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1629065008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133733",
            "telephone_number": "203-777-7411",
            "fax_number": "203-777-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-777-7411",
            "fax_number": "203-777-8506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4748",
            "fax_number": "203-688-4740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4748",
            "fax_number": "203-688-4740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065133949",
            "country_code": "US",
            "telephone_number": "203-777-7411",
            "fax_number": "203-777-8506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Hemingway Ave",
            "address_purpose": "LOCATION",
            "city": "East Haven",
            "state": "CT",
            "postal_code": "065123240",
            "country_code": "US",
            "telephone_number": "203-777-7411",
            "fax_number": "203-777-8506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEELY",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "040594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001405944",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.