Individual provider Active NPI

Matthew Leon Danish, MD

  • Hematology & Oncology Physician
  • Waterford, CT
National Provider Identifier
1639607245
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD17184 Issued in RI
Practice address
230 Waterford Pkwy S
Waterford, CT 06385-1219
Phone
(860) 444-3744
NPI assigned
May 25, 2017
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD17184 RI
Hematology & Oncology Physician 207RH0003X MD17184 RI Primary
Medical Oncology Physician 207RX0202X 79402 CT
Hospitalist Physician 208M00000X MD17184 RI

Addresses

Primary practice location

230 Waterford Pkwy S
Waterford, CT 06385-1219

Mailing address

333 Cedar St # 205
New Haven, CT 06510-3206

Other practice location 1

25 Wells St
Westerly, RI 02891-2922
Phone (401) 656-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201216002992 RI Practitioner - HospitalistPractitioner - Internal Medicine 8022420959 Reassigns benefits to 2 organizations
I20241122002205 CT Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8022420959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Drexel University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

230 Waterford Pkwy S
Waterford, CT 06385-1219
Phone (860) 444-3744

25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Yale University CurrentSince Nov 7, 2024 Accepting new patients
Yale University Internal Medicine Current Accepting new patients
Silver Spring Health Care Management, Inc CurrentSince Jun 1, 2023 Accepting new patients
Yale University CurrentSince Nov 7, 2024 Accepting new patients
Northeast Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Silver Spring Health Care Management, Inc. Hematology & Oncology Current Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Jun 1, 2023 Accepting new patients

Locations

333 Cedar St
#205
New Haven, CT 06510
Phone (203) 785-4095

35 Park St
New Haven, CT 06519
Phone (203) 200-2100

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

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

99 Hawley Ln
Fl 3
Stratford, CT 06614
Phone (203) 502-4650

230 Waterford Parkway S
Waterford, CT 06385
Phone (860) 271-4360

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

85 Kenyon Ave
Wakefield, RI 02879
Phone (401) 783-6670

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

25 Wells St
Fl 2
Westerly, RI 02891
Phone (401) 656-4950

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

Interoperability endpoints

  • Direct secure messaging: mdanish693447@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1639607245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST # 205",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WATERFORD PKWY S",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851219",
            "telephone_number": "860-444-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Wells St",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912922",
            "country_code": "US",
            "telephone_number": "401-656-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANISH",
        "first_name": "MATTHEW",
        "middle_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD17184",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "MD17184",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "79402",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "RI",
            "license": "MD17184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.