Individual provider Active NPI

Daniel Eric Wollman, M.D, PHD

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
National Provider Identifier
1659344596
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
038204 Issued in CT
Practice address
555 Bridgeport Ave Ste 2
Shelton, CT 06484-4892
Phone
(203) 225-0504
Fax
(203) 792-1675
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 283995 MA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 038204 CT
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 038204 CT Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 283995 MA

Addresses

Primary practice location

555 Bridgeport Ave Ste 2
Shelton, CT 06484-4892

Mailing address

555 Bridgeport Ave Ste 2
Shelton, CT 06484-4892
Phone (203) 225-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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
I20050414000009 CT Practitioner - Geriatric Medicine 0749251031 Reassigns benefits to 1 organization
I20251029002413 MA Practitioner - Geriatric Medicine 0749251031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Otis, MA 01253
Phone (203) 225-0504

580 Long Hill Ave
Shelton, CT 06484-4803
Phone (203) 225-0504

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
71.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038204CTMDGeriatric Medicine (Internal Medicine) Physician
283995MAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Comprehensive Care LLC Geriatric Medicine CurrentSince Mar 10, 2003 Accepting new patients

Locations

31 Staples St
Danbury, CT 06810
Phone (203) 225-0504

555 Bridgeport Ave
Ste 2
Shelton, CT 06484
Phone (203) 225-0504

Organizations & group practices 1

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 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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1659344596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BRIDGEPORT AVE STE 2",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844892",
            "telephone_number": "203-225-0504",
            "fax_number": "203-792-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BRIDGEPORT AVE STE 2",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844892",
            "telephone_number": "203-225-0504",
            "fax_number": "203-792-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLMAN",
        "first_name": "DANIEL",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "283995",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CT",
            "license": "038204",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "038204",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "283995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.