NPIMap

Individual provider Active NPI

Lee Tracy Silva, M.D.

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1669528311
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038747 Issued in CT
Practice address
1275 Summer St
Suite 105
Stamford, CT 06905-5359
Phone
(203) 325-2667
Fax
(203) 973-0446
NPI assigned
Jan 26, 2007
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038747 CT Primary

Addresses

Primary practice location

1275 Summer St
Suite 105
Stamford, CT 06905-5359

Mailing address

1275 Summer St
Suite 105
Stamford, CT 06905-5359
Phone (203) 325-2667

Other identifiers 1

IdentifierTypeStateIssuer
038747OtherCTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001085 CT Practitioner - Internal Medicine 3577603851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
Stamford Primary Care, P.C.Group PAC ID 1557446952, 2 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

1275 Summer St
Suite 105
Stamford, CT 06905-5315
Phone (203) 325-2667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.54 of 100Reported as group
Quality
89.33
Improvement activities
40
Cost
79.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038747CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Primary Care, P.C. CurrentSince Dec 1, 2000 Accepting new patients
Rheumatology Associates of Southern Connecticut, LLC PastSince Dec 1, 2000 Accepting new patients

Locations

1275 Summer St
Ste 105
Stamford, CT 06905
Phone (203) 325-2667

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1669528311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SUMMER ST",
            "address_2": "SUITE 105",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055359",
            "telephone_number": "203-325-2667",
            "fax_number": "203-973-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SUMMER ST",
            "address_2": "SUITE 105",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055359",
            "telephone_number": "203-325-2667",
            "fax_number": "203-973-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "LEE",
        "middle_name": "TRACY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038747",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.