NPIMap

Individual provider Active NPI

Elizabeth Nadal, D.O.

  • Obstetrics & Gynecology Physician
  • Westport, CT
National Provider Identifier
1730508946
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
60361 Issued in CT
Practice address
12 Avery PL
Westport, CT 06880-3223
Phone
(203) 227-5125
Fax
(203) 222-7180
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 662920713 NY
Obstetrics & Gynecology Physician 207V00000X 60361 CT Primary

Addresses

Primary practice location

12 Avery PL
Westport, CT 06880-3223

Mailing address

12 Avery PL
Westport, CT 06880-3223
Phone (203) 227-5125

Other practice location 1

185 S Orange Ave
E506
Newark, NJ 07103-2757
Phone (973) 972-5266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015000937 CT Practitioner - Obstetrics/Gynecology 0840542171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2014
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)

12 Avery PL
Westport, CT 06880-3223
Phone (203) 227-5125

Hospital & facility affiliations

  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034
  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
60361CTMDObstetrics & Gynecology Physician
662920713NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Jul 15, 2019 Accepting new patients
Northeast Medical Group, Inc. Obstetrics & Gynecology CurrentSince Apr 17, 2020 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Apr 17, 2020 Accepting new patients
Obstetrics and Gynecology of Fairfield County, LLC Obstetrics & Gynecology CurrentSince Sep 4, 2018 Accepting new patients
Avery Center for OBGYN PC Obstetrics & Gynecology PastSince Jul 15, 2019 Accepting new patients

Locations

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

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

400 Stillson Rd
Fairfield, CT 06824
Phone (203) 335-7000

1735 Post Rd
Ste 2
Fairfield, CT 06824
Phone (203) 256-3990

40 Cross St
Ste 250
Norwalk, CT 06851
Phone (203) 840-1507

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

12 Avery Pl
Westport, CT 06880
Phone (203) 227-5125

Interoperability endpoints

  • Direct secure messaging: elizabeth.nadal.1@10170.direct.athenahealth.com
  • Direct secure messaging: enadal405618@direct.ynhh.org

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.

Hospital & facility affiliations 8

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1730508946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 AVERY PL",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803223",
            "telephone_number": "203-227-5125",
            "fax_number": "203-222-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 AVERY PL",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803223",
            "telephone_number": "203-227-5125",
            "fax_number": "203-222-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave",
            "address_2": "E506",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-5266",
            "fax_number": "973-972-4574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADAL",
        "first_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "662920713",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "60361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.