Active NPI
Daniel Eric Wollman, M.D, PHD
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 038204
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Hospicecare in the Berkshires
- Masonicare Home Health and Hospice Inc
- Berkshire Medical Center
- Griffin Hospital
- Berkshire Place
- Masonicare at Bishop Wicke Health & Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 038204 | CT | MD | Geriatric Medicine (Internal Medicine) Physician |
| 283995 | MA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Comprehensive Care LLC | Geriatric Medicine | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1982753083
MA
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Wallingford, CT
- NPI 1225151822
-
- Skilled Nursing Facility
- Shelton, CT
- NPI 1851428387
Nursing home
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
dba Berkshire Place
- Skilled Nursing Facility
- Pittsfield, MA
- NPI 1942391461
Nursing home
-
- Community Based Hospice Care Agency
- Pittsfield, MA
- NPI 1457358533
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.