Howard Lee Distelman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

028769 Issued in CT

Practice address

515 Boston St
Guilford, CT 06437-2960

Phone

(203) 453-3100

Fax

(203) 458-9456

NPI assigned

Aug 24, 2006

Last updated

Oct 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

State University of New York Downstate Medical Center, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middlesex Eye Physicians P.C.Group PAC ID 5890757108, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.71 of 100Reported as group

Quality

94.47

Improvement activities

40

Cost

76.4

Merit-based Incentive Payment System (MIPS)

Final score

93.27 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.55

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Middlesex Eye Physicians, P.C.

  • Ophthalmology Physician
  • Middletown, CT
  • NPI 1295716413
  Medicare reassignment Care Compare group NPD
• Shoreline Eye Associates, P.C.

  • Ophthalmology Physician
  • Guilford, CT
  • NPI 1891900106
  Authorized official Same address or phone
• Middlesex Eye Physicians P.C.

  • Ophthalmology Physician
  • East Haven, CT
  • NPI 1942010665
  NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1649387770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BOSTON ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372960",
            "telephone_number": "203-453-3100",
            "fax_number": "203-458-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BOSTON ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372960",
            "telephone_number": "203-453-3100",
            "fax_number": "203-458-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTELMAN",
        "first_name": "HOWARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "028769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Destafano
• Phillip S. Dickey, M.D
• Sophia Didiano, LCSW
• Edward J Dill Jr., M.D.
• Amanda Dipaolo, RPH
• Susan Wehstein Dobuler, MSW LCSW
• Donna R. Criscenzo, M.D., LLC
• Deborah Kennedy Doucette, PHD
• Dr Orthodontics PC
• Christine Drago

• Ophthalmology Physician in Guilford, CT
• Providers in Guilford, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.

Verify at the official NPI Registry.