Individual provider Active NPI

Mark Matthew Landreneau, MD

  • Neurology Physician
  • New Haven, CT
National Provider Identifier
1659646875
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
55629 Issued in CT
Practice address
285 Nicoll St Ste 104
New Haven, CT 06511-2625
Phone
(203) 606-2395
NPI assigned
Mar 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 55629 CT Primary

Addresses

Primary practice location

285 Nicoll St Ste 104
New Haven, CT 06511-2625

Mailing address

285 Nicoll St Apt 104
New Haven, CT 06511-0925
Phone (203) 606-2395

Other identifiers 1

IdentifierTypeStateIssuer
008072418MedicaidCT

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
I20180626000175 CT Practitioner - Neurology 6305158809 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Columbia University College of Physicians and Surgeons, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55629CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 13, 2018 Accepting new patients
Yale University CurrentSince Oct 29, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 13, 2018 Accepting new patients
Yale University Neurology CurrentSince Oct 29, 2020 Accepting new patients
Centered PLLC Neurology CurrentSince Jan 4, 2025 Accepting new patients
Baystate Medical Practices, Inc PastSince Oct 20, 2024 Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

29 Hospital Plz
Ste 602
Stamford, CT 06902
Phone (203) 276-2451

Interoperability endpoints

  • Direct secure messaging: mlandreneau43644@direct.ynhh.org

Organizations & group practices 6

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 2

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1659646875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NICOLL ST APT 104",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065110925",
            "telephone_number": "203-606-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 NICOLL ST STE 104",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112625",
            "telephone_number": "203-606-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRENEAU",
        "first_name": "MARK",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "55629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008072418",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.