Active NPI
Nnenna C Ogundipe, MD
- Hospitalist Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 49235
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Sep 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PENDIN | CT | |
| Hospitalist Physician | 208M00000X | 49235 | CT | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06753495 | Other | NY | ECFMG |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 585-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.86 of 100
- Quality
- 11.77
- Promoting interoperability
- 98
- Improvement activities
- 0
- Cost
- 73.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDIN | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Kimball Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Bristol Hospital Multi Specialty Group, Inc | Internal Medicine | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Internal Medicine | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients |
Locations
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
Interoperability endpoints
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
Organizations & group practices 5
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.
-
- General Practice Physician
- Bristol, CT
- NPI 1649265679
Internal Medicine
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Internal Medicine
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, CT
- NPI 1619901642
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1205056371
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1649243478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1700193281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNDIPE",
"first_name": "NNENNA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "PENDIN",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "49235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG",
"identifier": "06753495",
"state": "NY"
}
],
"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 Mar 30, 2016; 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.