Individual provider Active NPI

Vincent R Carlesi, M.D.

  • Interventional Pain Medicine Physician
  • Danbury, CT
National Provider Identifier
1699726554
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
032179 Issued in CT
Practice address
40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5119
Phone
(203) 397-6872
Fax
(203) 207-0304
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 032179 CT
Interventional Pain Medicine Physician 208VP0014X 189623 NY
Interventional Pain Medicine Physician 208VP0014X 032179 CT Primary

Addresses

Primary practice location

40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5119

Mailing address

40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5119
Phone (203) 397-6872

Other practice location 1

664 Stoneleigh Ave Ste 300
Carmel, NY 10512-3990
Phone (845) 208-2314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091228000267 CT Practitioner - Interventional Pain Management 1052392909 Reassigns benefits to 1 organization
I20210121000349 NY Practitioner - Interventional Pain Management 1052392909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

40 Old Ridgebury Rd
Suite 101
Danbury, CT 06810-5123
Phone (203) 397-6872

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.77 of 100Reported as group
Quality
35.11
Improvement activities
30
Cost
60.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189623NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Jul 1, 2022 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872

664 Stoneleigh Ave
Ste 103
Carmel, NY 10512

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

400 Westage Business Ctr Dr
Ste 106
Fishkill, NY 12524
Phone (845) 227-2228

657 E Main St
Ste 3
Mount Kisco, NY 10549
Phone (914) 471-4777

2 Victory Ct
Newburgh, NY 12550
Phone (845) 522-5480

4 Westchester Park Dr
Fl 4
White Plains, NY 10604
Phone (914) 948-3008

Interoperability endpoints

  • Direct secure messaging: vcarlesi@somers1172.srs-direct.com
  • Direct secure messaging: vincent.carlesi.1@20311.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1699726554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OLD RIDGEBURY RD STE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105119",
            "telephone_number": "203-397-6872",
            "fax_number": "203-207-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OLD RIDGEBURY RD STE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105119",
            "telephone_number": "203-397-6872",
            "fax_number": "203-207-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "664 Stoneleigh Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105123990",
            "country_code": "US",
            "telephone_number": "845-208-2314",
            "fax_number": "203-207-0304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLESI",
        "first_name": "VINCENT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "032179",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "189623",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "032179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.