Individual provider Active NPI

Maryam Hedayatzadeh, M.D.

  • Obstetrics & Gynecology Physician
  • Norwalk, CT
National Provider Identifier
1700013182
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
047760 Issued in CT
Practice address
761 Main Ave
Norwalk, CT 06851-1080
Phone
(203) 644-1100
Fax
(203) 644-1111
NPI assigned
Jun 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 047760 CT Primary

Addresses

Primary practice location

761 Main Ave
Norwalk, CT 06851-1080

Mailing address

761 Main Ave
Norwalk, CT 06851-1080
Phone (203) 644-1100

Other identifiers 1

IdentifierTypeStateIssuer
047760OtherCTLICENSE

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
I20090831000653 CT Practitioner - Obstetrics/Gynecology 8325193147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

323 Riverside Ave
Westport, CT 06880-4810
Phone (203) 349-4305

500 W Ave
Norwalk, CT 06850-4058
Phone (203) 644-1160

761 Main Ave
BLDG B
Norwalk, CT 06851-1080
Phone (203) 644-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047760CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Connecticut PC Obstetrics & Gynecology CurrentSince Oct 1, 2022 Accepting new patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Mar 23, 2015 Accepting new patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Aug 31, 2009 Accepting new patients
Fairfield County Medical Services Inc Obstetrics & Gynecology Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

38 East Ave
New Canaan, CT 06840
Phone (203) 594-9520

761 Main Ave
Ste 100
Norwalk, CT 06851
Phone (203) 644-1100

761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

109 Danbury Rd
Ste C2
Ridgefield, CT 06877

323 Riverside Ave
Westport, CT 06880
Phone (203) 226-1027

50 Danbury Rd
Wilton, CT 06897
Phone (203) 838-4000

Interoperability endpoints

  • Direct secure messaging: maryam.hedayatzadeh.1@10170.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1700013182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-644-1100",
            "fax_number": "203-644-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-644-1100",
            "fax_number": "203-644-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYATZADEH",
        "first_name": "MARYAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "047760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "047760",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.