Individual provider Active NPI

Thomas S Rank, APRN

  • Adult Health Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1629366398
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
004680 Issued in CT
Practice address
20 York St CB-2041
Northeast Medical Group, Inc.
New Haven, CT 06510
Phone
(203) 688-4748
Fax
(203) 688-4740
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 004680 CT
Adult Health Nurse Practitioner 363LA2200X 004680 CT Primary

Addresses

Primary practice location

20 York St CB-2041
Northeast Medical Group, Inc.
New Haven, CT 06510

Mailing address

20 York St CB-2041
Northeast Medical Group, Inc.
New Haven, CT 06510
Phone (203) 688-4748

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000413 CT Practitioner - Nurse Practitioner 8921278367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
004680CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince May 1, 2019 Accepting new patients
Yale University CurrentSince May 1, 2019 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Aug 1, 2011 Accepting new patients
Northeast Medical Group, Inc. Nurse Practitioner CurrentSince Aug 1, 2011 Accepting new patients
Milford Vascular Institute, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

203 Main St
East Haven, CT 06512
Phone (203) 407-2541

2200 Whitney Ave
Ste 180
Hamden, CT 06518
Phone (203) 407-5800

10 Commerce Park
Milford, CT 06460
Phone (203) 882-8346

20 Commerce Park
Milford, CT 06460
Phone (203) 283-5200

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: thomas.rank.1@24043.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24043/brand/1/csg/1/fhir/r4
  • Direct secure messaging: trank45580@direct.ynhh.org

Organizations & group practices 5

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1629366398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST CB-2041",
            "address_2": "NORTHEAST MEDICAL GROUP, INC.",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-688-4748",
            "fax_number": "203-688-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST CB-2041",
            "address_2": "NORTHEAST MEDICAL GROUP, INC.",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-688-4748",
            "fax_number": "203-688-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANK",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "004680",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.