Individual provider Active NPI

Jeremy D. Kaufman, MD

  • Urology Physician
  • Trumbull, CT
National Provider Identifier
1659575405
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
46705 Issued in CT
Practice address
160 Hawley LN
Urological Associates of BPT P.C.
Trumbull, CT 06611-5300
Phone
(203) 375-3456
Fax
(203) 375-4456
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 46705 CT
Urology Physician 208800000X 46705 CT Primary

Addresses

Primary practice location

160 Hawley LN
Urological Associates of BPT P.C.
Trumbull, CT 06611-5300

Mailing address

160 Hawley LN
Suite 002
Trumbull, CT 06611-5300
Phone (203) 375-3456

Other identifiers 1

IdentifierTypeStateIssuer
008001917MedicaidCT

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090415000135 CT Practitioner - Urology 7810044567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
JS Weill Medical College, Cornell University, 2002
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)

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 301-6261

52 Beach Rd
Fairfield, CT 06824-6017

5520 Park Ave
Trumbull, CT 06611-3463

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 29, 2020 Accepting new patients

Locations

52 Beach Rd
Ste 205
Fairfield, CT 06824
Phone (203) 255-6824

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

160 Hawley Ln
Ste 2
Trumbull, CT 06611
Phone (203) 375-3456

Interoperability endpoints

  • Direct secure messaging: jkaufman6458@direct.ynhh.org

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 7

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1659575405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN",
            "address_2": "SUITE 002",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-375-3456",
            "fax_number": "203-375-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN",
            "address_2": "UROLOGICAL ASSOCIATES OF BPT P.C.",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-375-3456",
            "fax_number": "203-375-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "JEREMY",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CT",
            "license": "46705",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "46705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008001917",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.