Active NPI
Harlan M Krumholz, MD
- Cardiovascular Disease Physician
- New Haven, CT
National Provider Identifier
1699764480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 032590
- Practice address
- 333 Cedar St
I456 SHM
New Haven, CT 06510-3206 - Phone
- (203) 764-5885
- Fax
- (203) 764-5653
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 032590 | CT | Primary |
Addresses
Primary practice location
333 Cedar St
I456 SHM
New Haven, CT 06510-3206
Mailing address
1 Church St
Suite 200
New Haven, CT 06510-3330
Phone (203) 785-7998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001325902 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032590 | CT | MD | Cardiovascular Disease Physician |
Interoperability endpoints
- hkrumholz5117@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1699764480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHURCH ST",
"address_2": "SUITE 200",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103330",
"telephone_number": "203-785-7998",
"fax_number": "203-785-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"address_2": "I456 SHM",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-764-5885",
"fax_number": "203-764-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUMHOLZ",
"first_name": "HARLAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "032590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001325902",
"state": "CT"
}
],
"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 Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.