Individual provider Active NPI

Nicholas Dugan, MD

  • Surgery Physician
  • Haymarket, VA
National Provider Identifier
1649617101
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
69317 Issued in CT
Practice address
15195 Heathcote Blvd Ste 330
Haymarket, VA 20169
Phone
(571) 284-3110
Fax
(571) 284-3119
NPI assigned
May 23, 2013
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2018-00276 NC
Surgery Physician 208600000X 0101267191 VA
Surgery Physician 208600000X 69317 CT Primary

Addresses

Primary practice location

15195 Heathcote Blvd Ste 330
Haymarket, VA 20169

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

14214 Ballantyne Lake Rd
Ste 200
Charlotte, NC 28277-3372
Phone (704) 667-2681

Other practice location 2

15195 Heathcote Blvd Ste 330
Haymarket, VA 20169
Phone (571) 284-3110

Other practice location 3

2 Trap Falls Rd Ste 100
Shelton, CT 06484-4616
Phone (203) 926-8835

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndugan732042@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20191009001722 VA Practitioner - General Surgery 0042525420 Reassigns benefits to 1 organization
I20210914000133 CT Practitioner - General Surgery 0042525420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Eastern Virginia Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

2 Trap Falls Rd
Suite 100
Shelton, CT 06484-4616
Phone (203) 256-9707

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00276NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Surgery CurrentSince Sep 13, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 13, 2021 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Aug 12, 2019 Accepting new patients
Uva Community Health Medical Group, LLC Surgery CurrentSince Aug 12, 2019 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2 Trap Falls Rd
Ste 100
Shelton, CT 06484
Phone (203) 332-4744

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

15195 Heathcote Blvd
Ste 330
Haymarket, VA 20169
Phone (571) 248-0167

15195 Heathcote Blvd
Ste 338
Haymarket, VA 20169
Phone (571) 261-3270

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Interoperability endpoints

  • Direct secure messaging: ndugan732042@direct.novanthealth.org
  • Direct secure messaging: nicholas.dugan@xdr.hhchealthdirect.org

Organizations & group practices 4

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 1

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1649617101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 HEATHCOTE BLVD STE 330",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "20169",
            "telephone_number": "571-284-3110",
            "fax_number": "571-284-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14214 Ballantyne Lake Rd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773372",
            "country_code": "US",
            "telephone_number": "704-667-2681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15195 Heathcote Blvd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Haymarket",
            "state": "VA",
            "postal_code": "20169",
            "country_code": "US",
            "telephone_number": "571-284-3110",
            "fax_number": "571-284-3119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Trap Falls Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064844616",
            "country_code": "US",
            "telephone_number": "203-926-8835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2018-00276",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101267191",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "69317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndugan732042@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "14214 Ballantyne Lake Rd",
            "address_2": "Ste 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282773372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

Verify at the official NPI Registry.