Kristen Leigh Fardelmann, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

61365 Issued in CT

Practice address

333 Cedar Street, TMP 3
New Haven, CT 06520

Phone

(203) 785-2802

Fax

(203) 785-6664

NPI assigned

Apr 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Anesthesiology

Education

University of Connecticut School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kfardelmann402848@direct.ynhh.org

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.

• Yale University

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment Care Compare group NPD
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1780028571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208051",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208051",
            "telephone_number": "203-785-2802",
            "fax_number": "203-785-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR STREET, TMP 3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06520",
            "telephone_number": "203-785-2802",
            "fax_number": "203-785-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E 68th St",
            "address_2": "Box 124",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-2959",
            "fax_number": "212-746-8563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Drive Department Of Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275994870",
            "country_code": "US",
            "telephone_number": "919-966-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARDELMANN",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "61365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Fankhanel
• Erin Fannon
• Eliza Fantarella, DPM
• Melissa Fappiano
• Mariam Elizabeth Farah, PHARMD, RPH
• Andrea Cristina Farela Rodriguez, M.D.
• Barbara Farell, LPC
• Wassim H Fares, MD, MSC
• Shelli F Farhadian, MD, PHD
• Ahmed Farhan

• Anesthesiology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.