Individual provider Active NPI

David Stitelman, MD

  • Pediatric Surgery Physician
  • New Haven, CT
National Provider Identifier
1669525473
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
2086S0120X Issued in CT
Practice address
333 Cedar Street
Yale Children'S Hospital
New Haven, CT 06520
Phone
(203) 785-7643
Fax
(203) 785-7643
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT184318 PA
Pediatric Surgery Physician 2086S0120X 2086S0120X CT Primary

Addresses

Primary practice location

333 Cedar Street
Yale Children'S Hospital
New Haven, CT 06520

Mailing address

90 Linsley Lake Rd
North Branford, CT 06471-1248
Phone (203) 481-2248

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
I20130912000076 CT Practitioner - Pediatric MedicinePractitioner - General Surgery 9335304997 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT184318PAMDSurgery Physician
2086S0120XCTMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Aug 15, 2013 Accepting new patients
Yale University Surgery Current Accepting new patients
Yale University CurrentSince Aug 15, 2013 Accepting new patients

Locations

333 Cedar St
New Haven, CT 06510
Phone (203) 432-4771

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

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

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

Interoperability endpoints

  • Direct secure messaging: dstitelman124664@direct.ynhh.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1669525473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LINSLEY LAKE RD",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711248",
            "telephone_number": "203-481-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR STREET",
            "address_2": "YALE CHILDREN'S HOSPITAL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06520",
            "telephone_number": "203-785-7643",
            "fax_number": "203-785-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITELMAN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT184318",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CT",
            "license": "2086S0120X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.