Active NPI
David Stitelman, MD
- Pediatric Surgery Physician
- New Haven, CT
National Provider Identifier
1669525473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 2086S0120X
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT184318 | PA | MD | Surgery Physician |
| 2086S0120X | CT | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Surgery | Current | Accepting new patients |
| Yale University | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.