Active NPI
Demetrios Neofitidis
- Emergency Medicine Physician
- Meriden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 69868
- Practice address
- 455 Lewis Ave
Meriden, CT 06451-2121 - Phone
- (203) 694-8200
- NPI assigned
- Apr 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 69868 | CT | Primary |
Addresses
Primary practice location
455 Lewis Ave
Meriden, CT 06451-2121
Mailing address
455 Lewis Ave
Meriden, CT 06451-2121
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (830) 423-6410
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.05 of 100
- Quality
- 84.92
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 83.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.78
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.01 of 100
- Quality
- 71.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310267 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Single Specialty | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Nems PLLC | Single Specialty | Current | Accepting new patients |
| Northeast Emergency Medicine Specialists, LLC | Single Specialty | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Single Specialty | Current | Accepting new patients |
Locations
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
Interoperability endpoints
- dneofitidis398664@xdr.hhchealthdirect.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.
-
- Emergency Medicine Physician
- Willimantic, CT
- NPI 1982889598
Single Specialty
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Single Specialty
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
Single Specialty
-
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1669524187
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1629501010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 LEWIS AVE",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 LEWIS AVE",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512121",
"telephone_number": "203-694-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEOFITIDIS",
"first_name": "DEMETRIOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-04",
"last_updated": "2023-06-22",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "CT",
"license": "69868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.