Active NPI
Lynn D Wilson, MD
- Radiation Oncology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 033720
- Practice address
- 15 York St
Hunter Building, 1St FL
New Haven, CT 06510-3221 - Phone
- (203) 688-4344
- Fax
- (203) 737-1281
- NPI assigned
- Oct 12, 2005
- Last updated
- Apr 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 033720 | CT | Primary |
Addresses
Primary practice location
15 York St
Hunter Building, 1St FL
New Haven, CT 06510-3221
Mailing address
15 York St
Hunter Building, 1St FL
New Haven, CT 06510-3221
Phone (203) 688-4344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001337204 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- George Washington University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033720 | CT | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
15 York St
Bldg 1ST
New Haven, CT 06510
Phone (203) 688-4344
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- lwilson8951@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Pain Medicine (Anesthesiology) Physician
- Greenwich, CT
- NPI 1144230954
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1770571770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 YORK ST",
"address_2": "HUNTER BUILDING, 1ST FL",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103221",
"telephone_number": "203-688-4344",
"fax_number": "203-737-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 YORK ST",
"address_2": "HUNTER BUILDING, 1ST FL",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103221",
"telephone_number": "203-688-4344",
"fax_number": "203-737-1281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LYNN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CT",
"license": "033720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001337204",
"state": "CT"
}
],
"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 Apr 7, 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.