Individual provider Active NPI

Jeffrey D Knispel, M.D.

  • Dermatology Physician
  • Newtown, CT
National Provider Identifier
1710983036
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
038731 Issued in CT
Practice address
170 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1408
Phone
(203) 792-4151
Fax
(203) 792-4155
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 038731 CT Primary

Addresses

Primary practice location

170 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1408

Mailing address

170 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1408
Phone (203) 792-4151

Other identifiers 1

IdentifierTypeStateIssuer
001387316MedicaidCT

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
I20110215000524 CT Practitioner - Dermatology 2466490545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Icahn School of Medicine at Mount Sinai, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Western Connecticut, PCGroup PAC ID 6507804671, 10 clinicians

Practice addresses (Care Compare)

10 S St
Suite 204
Ridgefield, CT 06877-4126
Phone 20379241512109

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.4 of 100Reported as group
Quality
97.76
Improvement activities
40
Cost
84.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions1242
Removal or shaving of skin growth230
Skin biopsy270

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Western Connecticut, PC CurrentSince Jun 27, 2000 Accepting new patients

Locations

120 Park Lane Rd
Ste A203
New Milford, CT 06776
Phone (203) 792-4151

170 Mount Pleasant Rd
Ste 201
Newtown, CT 06470
Phone (203) 792-4151

10 South St
Ste 204
Ridgefield, CT 06877
Phone 20379241512109

10 South St
Ridgefield, CT 06877
Phone (203) 403-3490

Interoperability endpoints

  • Direct secure messaging: jknispel@directaddress.net

Organizations & group practices 1

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 2

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1710983036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701408",
            "telephone_number": "203-792-4151",
            "fax_number": "203-792-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701408",
            "telephone_number": "203-792-4151",
            "fax_number": "203-792-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNISPEL",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "038731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001387316",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

Verify at the official NPI Registry.