Severine Marie Chavel, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

046265 Issued in CT

Practice address

1290 Summer St
Suite # 3600
Stamford, CT 06905-5360

Phone

(203) 325-3576

Fax

(203) 325-3576

NPI assigned

Nov 28, 2007

Last updated

Apr 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Yale University School of Medicine, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Dermatology Center of Stamford LLCGroup PAC ID 5294629267, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Dermatology Center of Stamford, LLC

  • Specialist
  • Stamford, CT
  • NPI 1356343883
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greenwich Hospital

  • General Acute Care Hospital
  • Greenwich, CT
  • NPI 1609846088
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1700068103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SUMMER ST",
            "address_2": "SUITE # 3600",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055360",
            "telephone_number": "203-325-3576",
            "fax_number": "203-325-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SUMMER ST",
            "address_2": "SUITE # 3600",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055360",
            "telephone_number": "203-325-3576",
            "fax_number": "203-325-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEL",
        "first_name": "SEVERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "046265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Mark Chasuk, MD
• Michelle Chau-Ciontut, BCBA
• Anisha Chaudhry
• Hinna A Chaudhry, D.M.D.
• Shehrose Chaudry, MD
• Alice Chen, MD
• Biwei Chen, MD
• Hsiao Chen Chen, DDS
• I-Shen Chen
• Kaleigh Chen, PT, DPT

• Dermatology Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.